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Individual
ROY HERNANDEZ
Active
Individual
ROY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60137005
WA
Other
Enumeration date
01/26/2010
Last updated
07/11/2013
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