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1730733841
EDGAR CRUZ HERNANDEZ
SANTA CRUZ, CA
NPI
1730733841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-07-26
Last Update Date
2020-12-17
Business Address
EDGAR CRUZ HERNANDEZ
626 TREVETHAN AVE
SANTA CRUZ, CA 95065-1345
Phone number: 831-331-0517
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Mailing Address
EDGAR CRUZ HERNANDEZ
626 TREVETHAN AVE
SANTA CRUZ, CA 95065-1345
Phone number:
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