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1740782960
DOMINIQUE SHELTON
HIALEAH, FL
NPI
1740782960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
247200000X Technician, Other
Enumeration Date
2018-03-03
Last Update Date
2020-08-29
Business Address
DOMINIQUE SHELTON
419 W 49TH ST
HIALEAH, FL 33012-3654
Phone number: 855-832-6727
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Mailing Address
DOMINIQUE SHELTON
1860 NW 112TH TER
MIAMI, FL 33167-3539
Phone number: 786-908-5003
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