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1114539574
JANINE DIANE PUGH
SAN DIEGO, CA
NPI
1114539574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-08-18
Last Update Date
2020-08-18
Business Address
JANINE DIANE PUGH IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
JANINE DIANE PUGH IDC
1425 RHONE VALLEY WAY APT 75
CHULA VISTA, CA 91913-5034
Phone number: 215-796-5443
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