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1164799003
JOSE R HERNANDEZ
MORENO VALLEY, CA
NPI
1164799003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 31730)
Enumeration Date
2011-11-21
Last Update Date
2011-11-21
Business Address
-- JOSE R HERNANDEZ ASW
21250 BOX SPRINGS RD STE 106
MORENO VALLEY, CA 92557-8707
Phone number: 951-369-8036
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Mailing Address
-- JOSE R HERNANDEZ ASW
21250 BOX SPRINGS RD STE 106
MORENO VALLEY, CA 92557-8707
Phone number: 951-369-8036
Copy
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