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1073360723
JOSE MANUEL HERNANDEZ
TACOMA, WA
NPI
1073360723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA CB61550345)
Enumeration Date
2024-05-01
Last Update Date
2024-05-01
Business Address
Mr. JOSE MANUEL HERNANDEZ
950 BROADWAY STE 301
TACOMA, WA 98402-4454
Phone number: 253-671-9909
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Mailing Address
Mr. JOSE MANUEL HERNANDEZ
4706 CALDWELL RD E
EDGEWOOD, WA 98372-9221
Phone number: 360-927-6758
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