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1710492087
FREDDIE LEE DOMINGUEZ
POMONA, CA
NPI
1710492087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-12-08
Last Update Date
2024-11-03
Business Address
FREDDIE LEE DOMINGUEZ
2180 W VALLY BLVD
POMONA, CA 91768
Phone number: 909-865-2336
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Mailing Address
FREDDIE LEE DOMINGUEZ
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
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