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1912503376
LIEN DOMINGUEZ
CAPE CORAL, FL
NPI
1912503376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
LIEN DOMINGUEZ
1627 SE 20 TH STREET
CAPE CORAL, FL 33990
Phone number: 786-715-8666
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Mailing Address
LIEN DOMINGUEZ
1627 SE 20 TH STREET
CAPE CORAL, FL 33990-4763
Phone number: 786-715-8666
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