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1780455063
MICHAEL MARTINEZ DOMINGUEZ
ROWLAND HEIGHTS, CA
NPI
1780455063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-01-15
Last Update Date
2024-01-15
Business Address
MICHAEL MARTINEZ DOMINGUEZ
17462 COLIMA RD
ROWLAND HEIGHTS, CA 91748-1633
Phone number: 855-223-7123
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Mailing Address
MICHAEL MARTINEZ DOMINGUEZ
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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