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Individual

GERALDINE A HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13634 COUNTY ROAD J, HOLGATE, OH 43527-9721
(419) 439-0828
Mailing address
13634 COUNTY ROAD J, HOLGATE, OH 43527-9721

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 094504
OH

Other

Enumeration date
10/09/2015
Last updated
10/09/2015
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