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1659935997
KENDAL VIRGIL BUSH
SAN DIEGO, CA
NPI
1659935997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2019-04-23
Last Update Date
2019-04-23
Business Address
KENDAL VIRGIL BUSH
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 943-263-7811
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Mailing Address
KENDAL VIRGIL BUSH
14800 BOB WILSON
SAN DIEGO, CA 92134-0001
Phone number:
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