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1487340691
MIKE HERNANDEZ
REDDING, CA
NPI
1487340691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-04-12
Last Update Date
2023-04-12
Business Address
MIKE HERNANDEZ
4625 MOUNTAIN LAKES BLVD
REDDING, CA 96003-1450
Phone number: 530-246-7172
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Mailing Address
MIKE HERNANDEZ
4625 MOUNTAIN LAKES BLVD
REDDING, CA 96003-1450
Phone number:
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