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1972010445
JACK R. HERNANDEZ
LOS ANGELES, CA
NPI
1972010445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW79757)
Enumeration Date
2018-01-05
Last Update Date
2018-01-05
Business Address
JACK R. HERNANDEZ
1816 S FIGUEROA ST
LOS ANGELES, CA 90015-3422
Phone number: 213-763-0302
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Mailing Address
JACK R. HERNANDEZ
28833 IRON VILLAGE DR
VALENCIA, CA 91354-1175
Phone number: 626-804-0339
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