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1407212285
TERRA DOMINGUEZ
LOS ANGELES, CA
NPI
1407212285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-01-08
Last Update Date
2016-01-08
Business Address
-- TERRA DOMINGUEZ
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
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Mailing Address
-- TERRA DOMINGUEZ
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
Copy
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