MICHAEL MATTHEW FREGOLLE

SAN DIEGO, CA
NPI1578036174
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2019-01-07
Last Update Date2019-01-07
Business Address
MICHAEL MATTHEW FREGOLLE IDC
34520 BOB WILSON DR
SAN DIEGO, CA 92134-2098
Phone number: 619-532-0700
Mailing Address
MICHAEL MATTHEW FREGOLLE IDC
1781 BACON ST
SAN DIEGO, CA 92107-3237
Phone number: 321-426-5688
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