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1578159216
MIA DOMINGUEZ
AVONDALE, AZ
NPI
1578159216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
MIA DOMINGUEZ
10320 W MCDOWELL RD STE K1136
AVONDALE, AZ 85392-4876
Phone number: 602-397-2499
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Mailing Address
MIA DOMINGUEZ
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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