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1679792212
RUBEN HERNANDEZ
LOS ANGELES, CA
NPI
1679792212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 190499AP)
Enumeration Date
2007-04-24
Last Update Date
2010-03-02
Business Address
-- RUBEN HERNANDEZ
5255 POMONA BLVD
LOS ANGELES, CA 90022-1753
Phone number: 323-888-2530
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Mailing Address
-- RUBEN HERNANDEZ
13039 HAGAR ST
SYLMAR, CA 91342-4813
Phone number: 818-470-1968
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