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1275249054
LARRY GREGORY HEREDIA
CLOVIS, CA
NPI
1275249054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: CA 87151)
Enumeration Date
2023-01-25
Last Update Date
2023-08-07
Business Address
LARRY GREGORY HEREDIA ACSW
784 W HOLLAND AVE
CLOVIS, CA 93612-4800
Phone number: 559-538-1230
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Mailing Address
LARRY GREGORY HEREDIA ACSW
736 E SIERRA AVE
FRESNO, CA 93710-3928
Phone number: 559-304-3287
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