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1356005748
CAROLINE LYDIA DOMINGUEZ
FORT LAUDERDALE, FL
NPI
1356005748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL bacb702836)
Enumeration Date
2021-10-22
Last Update Date
2021-10-22
Business Address
CAROLINE LYDIA DOMINGUEZ
1001 W CYPRESS CREEK RD
FORT LAUDERDALE, FL 33309-1900
Phone number: 954-675-9438
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Mailing Address
CAROLINE LYDIA DOMINGUEZ
1420 SW 31ST ST
FORT LAUDERDALE, FL 33315-2828
Phone number: 954-675-9438
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