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1336603547
DOMONIQUE LUCIO
SAN DIEGO, CA
NPI
1336603547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
DOMONIQUE LUCIO
8775 AERO DR
SAN DIEGO, CA 92123-1792
Phone number: 858-609-8742
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Mailing Address
DOMONIQUE LUCIO
8775 AERO DR STE 132
SAN DIEGO, CA 92123-1779
Phone number: 858-609-8742
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