ADAM ORION TAKGAN INGERSOLL

SAN DIEGO, CA
NPI1477113215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2019-06-14
Last Update Date2019-06-14
Business Address
ADAM ORION TAKGAN INGERSOLL
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
Mailing Address
ADAM ORION TAKGAN INGERSOLL
24800 BOB WILSON DR
SAN DIEGO, CA 92134-0001
Phone number:
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