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1316241607
ANGEL HERNANDEZ
POMONA, CA
NPI
1316241607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-01-01
Last Update Date
2011-01-01
Business Address
Mr. ANGEL HERNANDEZ
558 N TOWNE AVE
POMONA, CA 91767-4826
Phone number: 909-622-2273
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Mailing Address
Mr. ANGEL HERNANDEZ
558 N TOWNE AVE
POMONA, CA 91767-4826
Phone number:
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