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1649751777
EARL LARRY HERNANDEZ
PALMDALE, CA
NPI
1649751777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
EARL LARRY HERNANDEZ
1609 EAST PALMDALE BLVD SUITE G
PALMDALE, CA 93550
Phone number: 661-947-1595
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Mailing Address
EARL LARRY HERNANDEZ
1609 E PALMDALE BLVD STE G
PALMDALE, CA 93550-4881
Phone number: 661-947-1595
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