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1972165629
MARIO ANTONIO HERNANDEZ
LOS ANGELES, CA
NPI
1972165629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-07-02
Last Update Date
2019-07-02
Business Address
Mr. MARIO ANTONIO HERNANDEZ
947 COLE AVE
LOS ANGELES, CA 90038-2610
Phone number: 323-818-2772
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Mailing Address
Mr. MARIO ANTONIO HERNANDEZ
947 COLE AVE
LOS ANGELES, CA 90038-2610
Phone number: 323-818-2772
Copy
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