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1326504010
SAMUEL DOMINGUEZ-LARIS
FARMINGTON HILLS, MI
NPI
1326504010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-02-18
Last Update Date
2019-02-18
Business Address
SAMUEL DOMINGUEZ-LARIS
27777 INKSTER RD
FARMINGTON HILLS, MI 48334-5326
Phone number: 248-436-4482
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Mailing Address
SAMUEL DOMINGUEZ-LARIS
27777 INKSTER RD
FARMINGTON HILLS, MI 48334-5326
Phone number: 248-436-4482
Copy
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