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1902072374
HELENE D DOMINGO
SAN DIEGO, CA
NPI
1902072374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-05-05
Last Update Date
2008-05-05
Business Address
-- HELENE D DOMINGO
6333 E LAKE DR
SAN DIEGO, CA 92119-2807
Phone number: 619-890-4446
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Mailing Address
-- HELENE D DOMINGO
6333 E LAKE DR
SAN DIEGO, CA 92119-2807
Phone number: 619-890-4446
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