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1295581437
JORGE LEONEL HERNANDEZ
LAKEWOOD, CA
NPI
1295581437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA Y4358168)
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
Mr. JORGE LEONEL HERNANDEZ
6032 VILLAGE RD
LAKEWOOD, CA 90713-3129
Phone number: 951-400-2044
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Mailing Address
Mr. JORGE LEONEL HERNANDEZ
19076 STROH AVE
CORONA, CA 92881-3827
Phone number: 951-400-2044
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