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1760506976
JOSE G HERNANDEZ
CULVER CITY, CA
NPI
1760506976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
MR. JOSE G HERNANDEZ B.S.
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
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Mailing Address
MR. JOSE G HERNANDEZ B.S.
4054 MADISON AVE APT. E
CULVER CITY, CA 90232-3252
Phone number:
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