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1871276014
JOSE LUIS HERNANDEZ
LOS ANGELES, CA
NPI
1871276014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1516080723)
Enumeration Date
2023-08-14
Last Update Date
2023-08-15
Business Address
JOSE LUIS HERNANDEZ
515 E 6TH ST
LOS ANGELES, CA 90021-1009
Phone number: 213-251-7612
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Mailing Address
JOSE LUIS HERNANDEZ
3061 HILL ST
HUNTINGTON PARK, CA 90255-6423
Phone number: 323-365-1894
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