EDINITO GULFAN PUROG

CHULA VISTA, CA
NPI1134352719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2009-08-28
Last Update Date2009-08-28
Business Address
-- EDINITO GULFAN PUROG IDC
1888 CROSSROADS ST
CHULA VISTA, CA 91915-2430
Phone number: 619-852-6601
Mailing Address
-- EDINITO GULFAN PUROG IDC
1888 CROSSROADS ST
CHULA VISTA, CA 91915-2430
Phone number: 619-852-6601
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