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1831856111
DOMINIQUE C HODGES
FAIRFIELD, CA
NPI
1831856111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 40513)
Enumeration Date
2021-11-22
Last Update Date
2024-02-23
Business Address
DOMINIQUE C HODGES PT
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
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Mailing Address
DOMINIQUE C HODGES PT
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
Copy
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