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1730690280
MARK DOMINGO
IRVINE, CA
NPI
1730690280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2017-10-23
Last Update Date
2017-10-23
Business Address
Mr. MARK DOMINGO OTR/L
6203 PAYTON
IRVINE, CA 92620-3486
Phone number: 562-619-7818
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Mailing Address
Mr. MARK DOMINGO OTR/L
6203 PAYTON
IRVINE, CA 92620-3486
Phone number:
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