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1891347803
ALEXANDER HENRIQUEZ
COMPTON, CA
NPI
1891347803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2019-07-10
Last Update Date
2023-08-17
Business Address
ALEXANDER HENRIQUEZ
1180 W MAHALO PL UNIT B
COMPTON, CA 90220-5443
Phone number: 310-868-5379
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Mailing Address
ALEXANDER HENRIQUEZ
1180 W MAHALO PL UNIT B
COMPTON, CA 90220-5443
Phone number: 310-868-5379
Copy
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