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1720449549
JOSE HERNANDEZ
SAN MARCOS, CA
NPI
1720449549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1633)
Enumeration Date
2016-03-08
Last Update Date
2016-03-08
Business Address
-- JOSE HERNANDEZ
1560 CAPALINA RD
SAN MARCOS, CA 92069-1288
Phone number: 760-744-2104
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Mailing Address
-- JOSE HERNANDEZ
1560 CAPALINA RD
SAN MARCOS, CA 92069-1288
Phone number: 760-744-2104
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