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1639946239
JESUS FERNANDO HERNANDEZ
RIVERSIDE, CA
NPI
1639946239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-12-05
Last Update Date
2023-12-08
Business Address
JESUS FERNANDO HERNANDEZ
5425 SIERRA VISTA AVE
RIVERSIDE, CA 92505-3113
Phone number: 951-299-7645
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Mailing Address
JESUS FERNANDO HERNANDEZ
3380 LA SIERRA AVE # 104-242
RIVERSIDE, CA 92503-5271
Phone number: 951-299-7645
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