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1417229899
JENNIFER DOMINGUEZ
LOS ANGELES, CA
NPI
1417229899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-02-01
Last Update Date
2012-02-01
Business Address
-- JENNIFER DOMINGUEZ Counselor
8407 S VERMONT AVE
LOS ANGELES, CA 90044-3423
Phone number: 323-971-1325
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Mailing Address
-- JENNIFER DOMINGUEZ Counselor
8407 S VERMONT AVE
LOS ANGELES, CA 90044-3423
Phone number: 323-971-1325
Copy
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