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1407108483
LOLITA M. DOMINGUE
UPLAND, CA
NPI
1407108483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC33746)
Enumeration Date
2012-10-15
Last Update Date
2014-05-05
Business Address
-- LOLITA M. DOMINGUE LMFT
1150 N MOUNTAIN AVE STE 203
UPLAND, CA 91786-3668
Phone number: 909-982-5171
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Mailing Address
-- LOLITA M. DOMINGUE LMFT
1150 N MOUNTAIN AVE STE 203
UPLAND, CA 91786-3668
Phone number: 909-982-5171
Copy
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