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1427594159
WALTER DOMINGUEZ
HIALEAH, FL
NPI
1427594159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-01-19
Last Update Date
2017-01-19
Business Address
WALTER DOMINGUEZ
860 W 36TH ST
HIALEAH, FL 33012-5164
Phone number: 786-482-0576
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Mailing Address
WALTER DOMINGUEZ
860 W 36TH ST
HIALEAH, FL 33012-5164
Phone number: 786-482-0576
Copy
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