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1699327957
DOMINIQUE NICOLE WATSON
LYNWOOD, CA
NPI
1699327957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2019-07-16
Last Update Date
2023-05-26
Business Address
DOMINIQUE NICOLE WATSON
2610 INDUSTRY WAY STE A
LYNWOOD, CA 90262-4028
Phone number: 310-631-8004
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Mailing Address
DOMINIQUE NICOLE WATSON
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4925
Phone number:
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