Individual
MR. JARED AGUON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HOLCOLM BLVD, FRENCH CREEK, BLDG 308, CLR 27, 2D MLG, PSC BOX 20125, CAMP LEJUENE, NC 28542
(910) 451-5125
Mailing address
PSC BOX 20125, GROUP AID STATION, FRENCH CREEK CLINIC FC 308, CAMP LEJUENE, NC 28542
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
AGUONJK183N3
WA
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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