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1336852847
DOMINIQUE TUCKER
FAIRFIELD, CA
NPI
1336852847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-12-29
Last Update Date
2022-12-29
Business Address
DOMINIQUE TUCKER
490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534-1862
Phone number: 844-636-3987
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Mailing Address
DOMINIQUE TUCKER
490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534-1862
Phone number: 844-636-3987
Copy
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