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1346028594
JOSE LUIS HERNANDEZ
STOCKTON, CA
NPI
1346028594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-09-19
Last Update Date
2023-09-19
Business Address
JOSE LUIS HERNANDEZ
102 W BIANCHI RD
STOCKTON, CA 95207-7132
Phone number: 209-451-3628
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Mailing Address
JOSE LUIS HERNANDEZ
102 W BIANCHI RD
STOCKTON, CA 95207-7132
Phone number: 209-451-3628
Copy
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