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1093941080
MARK HERNANDEZ
LOS ANGELES, CA
NPI
1093941080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2009-06-03
Last Update Date
2009-06-03
Business Address
-- MARK HERNANDEZ
5151 S WESTERN AVE
LOS ANGELES, CA 90062-2333
Phone number: 323-294-5051
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Mailing Address
-- MARK HERNANDEZ
PO BOX 968
SAN FERNANDO, CA 91341-0968
Phone number:
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