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1508305913
ARIEL DOMINGUEZ
COSTA MESA, CA
NPI
1508305913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-02-17
Last Update Date
2020-03-30
Business Address
ARIEL DOMINGUEZ
3188 AIRWAY AVE STE F
COSTA MESA, CA 92626-4652
Phone number: 714-600-4075
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Mailing Address
ARIEL DOMINGUEZ
1360 S ANAHEIM BLVD STE 101
ANAHEIM, CA 92805-6205
Phone number: 714-689-1380
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