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1477929875
SUSANA DOMINGUEZ
FRESNO, CA
NPI
1477929875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
Ms. SUSANA DOMINGUEZ
3333 E AMERICAN AVE
FRESNO, CA 93725-9247
Phone number: 559-600-4878
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Mailing Address
Ms. SUSANA DOMINGUEZ
PO BOX 1778 16700 5TH ST
HURON, CA 93234-1778
Phone number: 559-904-9337
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