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1154033710
RUBEN SLY HERNANDEZ
LANCASTER, CA
NPI
1154033710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-12-14
Last Update Date
2022-12-14
Business Address
RUBEN SLY HERNANDEZ Radt
2040 W AVENUE J13 APT 2
LANCASTER, CA 93536-5713
Phone number: 661-409-0242
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Mailing Address
RUBEN SLY HERNANDEZ Radt
2040 W AVENUE J13 APT 2
LANCASTER, CA 93536-5713
Phone number: 661-409-0242
Copy
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