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1003134099
JEROME HERNANDEZ
SAN DIEGO, CA
NPI
1003134099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2010-05-14
Last Update Date
2010-05-14
Business Address
JEROME HERNANDEZ N/A
6160 MISSION GORGE RD
SAN DIEGO, CA 92120-3410
Phone number: 619-281-3706
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Mailing Address
JEROME HERNANDEZ N/A
6160 MISSION GORGE RD
SAN DIEGO, CA 92120-3410
Phone number: 619-281-3706
Copy
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