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1063683050
VINCE HERNANDEZ
PORTERVILLE, CA
NPI
1063683050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS17938)
Enumeration Date
2008-03-18
Last Update Date
2011-12-08
Business Address
-- VINCE HERNANDEZ LCSW
380 N RESERVATION RD
PORTERVILLE, CA 93257-9673
Phone number: 559-784-2316
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Mailing Address
-- VINCE HERNANDEZ LCSW
PO BOX 768 380 N RESERVATION RD
PORTERVILLE, CA 93558-0768
Phone number: 559-784-2316
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