LEO BORISOVICH BUGAEFF

PORT HUENEME, CA
NPI1437347317
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-10-04
Last Update Date2007-10-04
Business Address
Mr. LEO BORISOVICH BUGAEFF IDC/RN
4643 DOCK RD BLDG 524
PORT HUENEME, CA 93043-4378
Phone number: 805-982-2464
Mailing Address
Mr. LEO BORISOVICH BUGAEFF IDC/RN
4643 DOCK RD BLDG 524
PORT HUENEME, CA 93043-4321
Phone number: 805-982-2464
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