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1922888189
LISA DOMINGO
MARTINEZ, CA
NPI
1922888189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 124544)
Enumeration Date
2023-10-04
Last Update Date
2023-10-04
Business Address
LISA DOMINGO
300 ILENE ST
MARTINEZ, CA 94553-2631
Phone number: 925-326-0647
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Mailing Address
LISA DOMINGO
300 ILENE ST
MARTINEZ, CA 94553-2631
Phone number: 925-326-0647
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