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1073048641
ADAM HERNANDEZ
STOCKTON, CA
NPI
1073048641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-20
Last Update Date
2017-04-20
Business Address
-- ADAM HERNANDEZ
620 N AURORA ST STE 1
STOCKTON, CA 95202-2276
Phone number: 209-468-3720
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Mailing Address
-- ADAM HERNANDEZ
620 N AURORA ST STE 1
STOCKTON, CA 95202-2276
Phone number: 209-468-3720
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