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1831697879
KATHLEEN DOMINGUEZ
SAN DIMAS, CA
NPI
1831697879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2018-01-24
Last Update Date
2023-10-27
Business Address
KATHLEEN DOMINGUEZ
180 VIA VERDE STE 200
SAN DIMAS, CA 91773-3993
Phone number: 909-599-1227
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Mailing Address
KATHLEEN DOMINGUEZ
180 VIA VERDE STE 200
SAN DIMAS, CA 91773-3993
Phone number: 909-599-1227
Copy
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