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1184402141
ISAIAH SCOTT HAGOOD
SAN DIEGO, CA
NPI
1184402141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
ISAIAH SCOTT HAGOOD
SURFACE WARFARE MEDICAL INSTITUTE BUILDING 14, 34101 FARENHOLT AVE
SAN DIEGO, CA 92129
Phone number: 619-532-7968
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Mailing Address
ISAIAH SCOTT HAGOOD
8271 WAVERLY LN UNIT 67
SAN DIEGO, CA 92129-4744
Phone number: 618-210-1893
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