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1730800830
SAMANTHA DOMINO
AUSTIN, TX
NPI
1730800830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: TX 120230)
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
SAMANTHA DOMINO
8111 MANDELA BND
AUSTIN, TX 78744-2093
Phone number: 973-634-7466
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Mailing Address
SAMANTHA DOMINO
8111 MANDELA BND
AUSTIN, TX 78744-2093
Phone number: 973-634-7466
Copy
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