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1871234138
EDDIE HERNANDEZ GONZALEZ
VICTORVILLE, CA
NPI
1871234138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95020273)
Enumeration Date
2022-04-01
Last Update Date
2022-05-08
Business Address
EDDIE HERNANDEZ GONZALEZ
12740 HESPERIA RD STE B
VICTORVILLE, CA 92395-8306
Phone number: 760-713-6969
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Mailing Address
EDDIE HERNANDEZ GONZALEZ
12740 HESPERIA RD STE B
VICTORVILLE, CA 92395-8306
Phone number: 760-713-6969
Copy
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