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1851664312
JUSTIN A HERNDON
APPLE VALLEY, CA
NPI
1851664312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-02-14
Last Update Date
2012-02-14
Business Address
-- JUSTIN A HERNDON
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307-1221
Phone number: 760-242-6336
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Mailing Address
-- JUSTIN A HERNDON
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307-1221
Phone number: 760-242-6336
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