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1518441211
OMAR HERNANDEZ
DOWNEY, CA
NPI
1518441211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
OMAR HERNANDEZ
11501 DOLAN AVE
DOWNEY, CA 90241-4921
Phone number: 562-923-7894
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Mailing Address
OMAR HERNANDEZ
3700 BOSTWICK ST
LOS ANGELES, CA 90063-2002
Phone number: 323-963-1272
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