VITALINO ROSENDO DOMINGO

LEXINGTON, KY
NPI1801342860
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2016-08-30
Last Update Date2016-08-30
Business Address
-- VITALINO ROSENDO DOMINGO BA, SW
900 BEASLEY ST
LEXINGTON, KY 40509-4266
Phone number: 859-254-1035
Mailing Address
-- VITALINO ROSENDO DOMINGO BA, SW
3105 SANDERSVILLE RD
LEXINGTON, KY 40511-8894
Phone number: 270-313-5881
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