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1467205575
IRIS DOMINGUEZ
COLUMBIA, SC
NPI
1467205575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
IRIS DOMINGUEZ
1320 MAIN ST STE 300
COLUMBIA, SC 29201-3266
Phone number: 877-418-2978
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Mailing Address
IRIS DOMINGUEZ
1830 MAGWOOD DR APT 204
CHARLESTON, SC 29414-5842
Phone number: 917-399-3161
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