ABRAHAM BAKONGO

SAN DIEGO, CA
NPI1871982694
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2015-01-16
Last Update Date2015-01-16
Business Address
ABRAHAM BAKONGO
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6960
Mailing Address
ABRAHAM BAKONGO
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number:
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