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1982075461
HEATHER DOMINGUEZ
KOTZEBUE, AK
NPI
1982075461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-09
Last Update Date
2015-10-09
Business Address
-- HEATHER DOMINGUEZ
733 2ND AVENUE
KOTZEBUE, AK 99752-0951
Phone number: 907-442-7640
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Mailing Address
-- HEATHER DOMINGUEZ
733 2ND AVENUE
KOTZEBUE, AK 99752-0951
Phone number:
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