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1972246080
GEORGINA DOMINIQUE
LOS ANGELES, CA
NPI
1972246080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-16
Last Update Date
2022-04-16
Business Address
GEORGINA DOMINIQUE
10833 LE CONTE AVE
LOS ANGELES, CA 90095-3075
Phone number: 310-825-6373
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Mailing Address
GEORGINA DOMINIQUE
10833 LE CONTE AVE
LOS ANGELES, CA 90095-3075
Phone number:
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