KENDAL VIRGIL BUSH

SAN DIEGO, CA
NPI1659935997
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2019-04-23
Last Update Date2019-04-23
Business Address
KENDAL VIRGIL BUSH
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 943-263-7811
Mailing Address
KENDAL VIRGIL BUSH
14800 BOB WILSON
SAN DIEGO, CA 92134-0001
Phone number:
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