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1003679473
JACOB HERNANDEZ
JERSEY CITY, NJ
NPI
1003679473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NJ 37AC00484200)
Enumeration Date
2024-01-30
Last Update Date
2024-01-30
Business Address
Mr. JACOB HERNANDEZ LAC
176 PALISADE AVE
JERSEY CITY, NJ 07306-1121
Phone number: 201-795-8200
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Mailing Address
Mr. JACOB HERNANDEZ LAC
117 SHERMAN PL APT 1
JERSEY CITY, NJ 07307-3735
Phone number: 201-674-2876
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