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1427414291
IVONNE HERNANDEZ
POMONA, CA
NPI
1427414291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA #051132-II)
Enumeration Date
2016-01-11
Last Update Date
2016-01-11
Business Address
-- IVONNE HERNANDEZ
1213 W MISSION BLVD
POMONA, CA 91766-1345
Phone number: 909-762-5569
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Mailing Address
-- IVONNE HERNANDEZ
1213 W MISSION BLVD
POMONA, CA 91766-1345
Phone number:
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