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1174724942
GREGORY JOHN HERNANDEZ
UKIAH, CA
NPI
1174724942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172A00000X Driver
Enumeration Date
2007-05-30
Last Update Date
2017-01-10
Business Address
-- GREGORY JOHN HERNANDEZ
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-234-9696
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Mailing Address
-- GREGORY JOHN HERNANDEZ
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-234-9696
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