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1316340193
EDGAR HERNANDEZ
FAIRFIELD, CA
NPI
1316340193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2014-10-07
Last Update Date
2015-03-09
Business Address
-- EDGAR HERNANDEZ MSW, MPH
470 CHADBOURNE RD STE E
FAIRFIELD, CA 94534-9620
Phone number: 707-425-9670
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Mailing Address
-- EDGAR HERNANDEZ MSW, MPH
5222 COSUMNES DR APT 132
STOCKTON, CA 95219-7213
Phone number: 310-879-7576
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