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1750853974
JAIME DOMINGUEZ
SANTA MARIA, CA
NPI
1750853974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
Mr. JAIME DOMINGUEZ
212 CARMEN LN STE 2012ND
SANTA MARIA, CA 93458-7769
Phone number: 805-212-7680
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Mailing Address
Mr. JAIME DOMINGUEZ
212 CARMEN LN STE 2012ND
SANTA MARIA, CA 93458-7769
Phone number: 805-212-7680
Copy
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