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1467724724
BRUNO HERNANDEZ
VICTORVILLE, CA
NPI
1467724724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 11555)
Enumeration Date
2012-02-02
Last Update Date
2012-02-02
Business Address
MR. BRUNO HERNANDEZ
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-952-9192
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Mailing Address
MR. BRUNO HERNANDEZ
13333 PALMDALE ROAD
VICTORVILLE, CA 92392
Phone number: 760-952-9192
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