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1538529599
LEONORE DOMINGUEZ
BELEN, NM
NPI
1538529599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 3480)
Enumeration Date
2016-03-03
Last Update Date
2016-03-03
Business Address
-- LEONORE DOMINGUEZ COTA
1831 CAMINO DEL LLANO
BELEN, NM 87002-2619
Phone number: 505-864-1600
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Mailing Address
-- LEONORE DOMINGUEZ COTA
2220 LOS PADILLAS RD SW LOT E
ALBUQUERQUE, NM 87105-7185
Phone number: 505-234-5783
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