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1457631731
EVELYN D DOMINGUEZ
LOS ANGELES, CA
NPI
1457631731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-08-18
Last Update Date
2019-05-15
Business Address
EVELYN D DOMINGUEZ
133 N SUNOL DR
LOS ANGELES, CA 90063
Phone number: 323-368-2516
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Mailing Address
EVELYN D DOMINGUEZ
133 N SUNOL DR
LOS ANGELES, CA 90063-1429
Phone number: 323-368-2516
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