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1194597765
DEREK HERNANDEZ
FOLSOM, CA
NPI
1194597765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-26
Last Update Date
2023-10-26
Business Address
DEREK HERNANDEZ
1825 PRAIRIE CITY RD
FOLSOM, CA 95630-9578
Phone number: 303-989-8169
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Mailing Address
DEREK HERNANDEZ
1825 PRAIRIE CITY RD
FOLSOM, CA 95630-9578
Phone number:
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