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1689064065
DOMINIQUE KING
POMONA, CA
NPI
1689064065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 37062)
Enumeration Date
2015-01-23
Last Update Date
2023-08-24
Business Address
DOMINIQUE KING
2008 GAREY AVE
POMONA, CA 91766
Phone number: 909-623-6131
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Mailing Address
DOMINIQUE KING
2008 GAREY AVE
POMONA, CA 91766
Phone number: 909-623-6131
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