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Individual
MR. JONATHAN E BUGH
Active
Individual
MR. JONATHAN E BUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC15501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC15501
LICENSE NUMBER
CA
01
—
P00206607
RAILROAD MEDICARE
CA
Enumeration date
08/31/2005
Last updated
11/01/2011
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