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1457132151
LUIS ALFONSO HERNANDEZ
SOUTH JORDAN, UT
NPI
1457132151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 12767280-3904)
Enumeration Date
2023-10-09
Last Update Date
2023-10-09
Business Address
LUIS ALFONSO HERNANDEZ AMFT
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095-5519
Phone number: 801-302-3801
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Mailing Address
LUIS ALFONSO HERNANDEZ AMFT
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095-5519
Phone number: 801-302-3801
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