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Individual

BRUCE BAUGHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
55475 SANTA FE TRL, STE 100, YUCCA VALLEY, CA 92284-3117
(855) 365-6558
Mailing address
55475 SANTA FE TRL, STE 100, YUCCA VALLEY, CA 92284-3117
(855) 365-6558

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
23466
CA

Other

Enumeration date
07/22/2014
Last updated
07/22/2014
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