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1508293291
LINDA S. DOMIANO
MESA, AZ
NPI
1508293291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ LISAC-10774)
Enumeration Date
2013-09-26
Last Update Date
2013-09-26
Business Address
LINDA S. DOMIANO L.I.S.A.C.
32 S MACDONALD
MESA, AZ 85210-1310
Phone number: 480-969-1471
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Mailing Address
LINDA S. DOMIANO L.I.S.A.C.
32 S MACDONALD
MESA, AZ 85210-1310
Phone number: 480-969-1471
Copy
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