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1396055653
DOMINIQUE EVANS
WEST COVINA, CA
NPI
1396055653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2010-10-20
Last Update Date
2010-10-20
Business Address
DOMINIQUE EVANS
1517 W GARVEY AVE N
WEST COVINA, CA 91790-2138
Phone number: 626-962-6061
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Mailing Address
DOMINIQUE EVANS
1856 NAVARRO AVE
PASADENA, CA 91103-1548
Phone number: 626-407-7321
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