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1336366863
GEORGE R HERNANDEZ
VIRGINIA BEACH, VA
NPI
1336366863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
-- GEORGE R HERNANDEZ IDC
5733 LILAC LN APT 207
VIRGINIA BEACH, VA 23464-6872
Phone number: 760-855-6614
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Mailing Address
-- GEORGE R HERNANDEZ IDC
5733 LILAC LN APT 207
VIRGINIA BEACH, VA 23464-6872
Phone number: 760-855-6614
Copy
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