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Individual

CARLTON JACOB MAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
BLDG 17 BISHOPS POINT, PEARL HARBOR, HI 96860
(443) 864-8344
Mailing address
BLDG 17 BISHOPS POINT, PEARL HARBOR, HI 96860
(443) 864-8344

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
11/23/2015
Last updated
11/23/2015
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