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1891327441
JOSE E HERNANDEZ
LOS ANGELES, CA
NPI
1891327441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
JOSE E HERNANDEZ
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
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Mailing Address
JOSE E HERNANDEZ
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
Copy
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