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1780356881
JO-DAVY ANDRE JAUREGUI
PORTSMOUTH, VA
NPI
1780356881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2021-09-28
Last Update Date
2021-09-28
Business Address
JO-DAVY ANDRE JAUREGUI
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703-2135
Phone number: 757-483-8596
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Mailing Address
JO-DAVY ANDRE JAUREGUI
3977 ORDINARY LOOP
HAYES, VA 23072-2955
Phone number: 954-394-1497
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