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1518668185
DOMINIQUE LARIAH JOHNSON
COVINA, CA
NPI
1518668185
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Other Name
DOMYNYQUE LARYAH JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-03-13
Last Update Date
2024-07-07
Business Address
Ms. DOMINIQUE LARIAH JOHNSON
1330 E ADAMS PARK DR
COVINA, CA 91724-2923
Phone number: 626-428-4023
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Mailing Address
Ms. DOMINIQUE LARIAH JOHNSON
1330 E ADAMS PARK DR
COVINA, CA 91724-2923
Phone number:
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