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1942962279
DOMINIQUE SULLIVAN
FRESNO, CA
NPI
1942962279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA F3138468)
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
DOMINIQUE SULLIVAN
5168 N BLYTHE AVE STE 102
FRESNO, CA 93722-6478
Phone number: 559-255-5900
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Mailing Address
DOMINIQUE SULLIVAN
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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