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1538670450
DIANA REBECA DOMINGUEZ
VISALIA, CA
NPI
1538670450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-18
Last Update Date
2017-10-18
Business Address
DIANA REBECA DOMINGUEZ
1646 S COURT ST
VISALIA, CA 93277-4962
Phone number: 559-625-8890
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Mailing Address
DIANA REBECA DOMINGUEZ
1646 S COURT ST
VISALIA, CA 93277-4962
Phone number: 559-625-8890
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