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1831698018
JOSE HERNANDEZ
UKIAH, CA
NPI
1831698018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 122022)
Enumeration Date
2018-02-02
Last Update Date
2024-05-01
Business Address
JOSE HERNANDEZ
800 N STATE ST
UKIAH, CA 95482-3410
Phone number: 707-468-5536
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Mailing Address
JOSE HERNANDEZ
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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