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1104153790
MIGUEL ANGEL LUGO
FPO, AP
NPI
1104153790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2009-11-03
Last Update Date
2009-11-03
Business Address
Mr. MIGUEL ANGEL LUGO IDC
USS LOS ANGELES (SSN 688)
FPO, AP 96601
Phone number: 808-590-6849
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Mailing Address
Mr. MIGUEL ANGEL LUGO IDC
2907 MAKUU LOOP
AIEA, HI 96701-3629
Phone number: 808-234-3685
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