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1992179659
MARY ELLEN MOORE-DOMINGUEZ
EDINBURG, TX
NPI
1992179659
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Former Name
MARY ELLEN MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 64939)
Enumeration Date
2015-11-18
Last Update Date
2015-11-18
Business Address
-- MARY ELLEN MOORE-DOMINGUEZ
1901 S 24TH AVE
EDINBURG, TX 78539-6533
Phone number: 956-289-7025
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Mailing Address
-- MARY ELLEN MOORE-DOMINGUEZ
1901 S 24TH AVE
EDINBURG, TX 78539-6533
Phone number: 956-289-7025
Copy
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