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1790238665
DOMINIQUE RAY MORENO
OMAHA, NE
NPI
1790238665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 10926)
Enumeration Date
2016-07-27
Last Update Date
2018-11-13
Business Address
DOMINIQUE RAY MORENO PLMHP
5217 S 28TH ST
OMAHA, NE 68107-3402
Phone number: 405-715-5459
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Mailing Address
DOMINIQUE RAY MORENO PLMHP
5217 S 28TH ST
OMAHA, NE 68107-3402
Phone number: 405-715-5459
Copy
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