JENETTE FOGG

FORT IRWIN, CA
NPI1841381266
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: KS  23-33050-112)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
-- JENETTE FOGG
4TH & INNER LOOP
FORT IRWIN, CA 92310
Phone number: 760-380-3185
Mailing Address
-- JENETTE FOGG
5250B CHUCKWALLA CT
FORT IRWIN, CA 92310-2110
Phone number:
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