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1477864023
DOMINIC DESIMINI
ONTARIO, OR
NPI
1477864023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2010-06-29
Last Update Date
2010-06-29
Business Address
DOMINIC DESIMINI
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
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Mailing Address
DOMINIC DESIMINI
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
Copy
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