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1982029591
JOSE ALFREDO HERNANDEZ
CALDWELL, ID
NPI
1982029591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-33530)
Enumeration Date
2014-02-19
Last Update Date
2014-02-19
Business Address
Mr. JOSE ALFREDO HERNANDEZ LMSW, QSUDP
704 ALBANY ST
CALDWELL, ID 83605-3501
Phone number: 208-454-5133
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Mailing Address
Mr. JOSE ALFREDO HERNANDEZ LMSW, QSUDP
704 ALBANY ST
CALDWELL, ID 83605-3501
Phone number: 208-454-5133
Copy
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