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Individual

MR. GABRIEL WILLIAM DOMINELLI III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 432-5882
Mailing address
1417 QUITMAN ST APT B, DENVER, CO 80204-6565
(302) 463-0867

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/05/2017
Last updated
07/05/2017
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