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1477302792
ANGELIQUE MARIE DOMINGUEZ
LEXINGTON, SC
NPI
1477302792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: SC 8526)
Enumeration Date
2024-05-17
Last Update Date
2024-05-17
Business Address
ANGELIQUE MARIE DOMINGUEZ SLP
113 E MAIN ST
LEXINGTON, SC 29072-3449
Phone number: 803-704-4759
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Mailing Address
ANGELIQUE MARIE DOMINGUEZ SLP
920 FAIRLINE CT
CHAPIN, SC 29036-6103
Phone number: 864-569-5536
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