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1861858938
DOMINIQUE DOMINGUEZ
LAKE ELSINORE, CA
NPI
1861858938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-01-05
Last Update Date
2016-01-05
Business Address
-- DOMINIQUE DOMINGUEZ
600 CENTRAL AVE STE E1
LAKE ELSINORE, CA 92530-2740
Phone number: 951-471-1426
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Mailing Address
-- DOMINIQUE DOMINGUEZ
600 CENTRAL AVE STE E1
LAKE ELSINORE, CA 92530-2740
Phone number:
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