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1114337417
THOMAS HUERTA
COVINA, CA
NPI
1114337417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-05-07
Last Update Date
2014-06-11
Business Address
-- THOMAS HUERTA
1126 N GRAND AVE
COVINA, CA 91724-1551
Phone number: 626-967-1667
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Mailing Address
-- THOMAS HUERTA
451 S 4TH AVE
LA PUENTE, CA 91746-2816
Phone number: 626-465-6622
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