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1568582088
BLANCA HERNANDEZ
SANTA ROSA, CA
NPI
1568582088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
BLANCA HERNANDEZ
1250 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3515
Phone number: 707-565-7663
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Mailing Address
BLANCA HERNANDEZ
1250 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3515
Phone number: 707-565-7663
Copy
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