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1114701034
KENNETH JAY VOGAN
SAN DIEGO, CA
NPI
1114701034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-08-22
Last Update Date
2023-11-25
Business Address
KENNETH JAY VOGAN CSNC
3900 LOMALAND DR
SAN DIEGO, CA 92106-2810
Phone number: 619-849-2442
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Mailing Address
KENNETH JAY VOGAN CSNC
3900 LOMALAND DR
SAN DIEGO, CA 92106-2810
Phone number: 619-577-0697
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