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1740815489
EDNA DOMINIQUE
LAUDERHILL, FL
NPI
1740815489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 17-43975)
Enumeration Date
2020-03-03
Last Update Date
2020-03-03
Business Address
EDNA DOMINIQUE
4931 NW 85TH TER
LAUDERHILL, FL 33351-5454
Phone number: 561-843-9709
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Mailing Address
EDNA DOMINIQUE
4931 NW 85TH TER
LAUDERHILL, FL 33351-5454
Phone number: 561-843-9709
Copy
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