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1508061789
JUVENCIO GABRIEL HERNANDEZ
LOS ANGELES, CA
NPI
1508061789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-18
Last Update Date
2007-08-09
Business Address
-- JUVENCIO GABRIEL HERNANDEZ
4309 LEIMERT BLVD
LOS ANGELES, CA 90008-5201
Phone number: 323-293-6000
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Mailing Address
-- JUVENCIO GABRIEL HERNANDEZ
3735 W 60TH ST
LOS ANGELES, CA 90043-2938
Phone number: 323-299-2903
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