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1730827122
JUAN ANTONIO DOMINGUEZ
DORAL, FL
NPI
1730827122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-05-25
Last Update Date
2022-05-25
Business Address
JUAN ANTONIO DOMINGUEZ CBHCM
1905 NW 82ND AVE
DORAL, FL 33126-1011
Phone number: 786-420-5924
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Mailing Address
JUAN ANTONIO DOMINGUEZ CBHCM
8601 SW 94TH ST APT 110W
MIAMI, FL 33156-7364
Phone number: 786-641-0039
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