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1891980603
NANCY VIOLA DOMINGUEZ
ESPANOLA, NM
NPI
1891980603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NM X-05958)
Enumeration Date
2007-09-14
Last Update Date
2007-09-14
Business Address
NANCY VIOLA DOMINGUEZ
907 WEST BOND STREET
ESPANOLA, NM 87532
Phone number: 505-247-0081
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Mailing Address
NANCY VIOLA DOMINGUEZ
907 WEST BOND STREET
ESPANOLA, NM 87532
Phone number:
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