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DAVID PARTIBLE CARBUNGCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
NAVAL HOSPITAL CAMP PENDLETON, BOX 555191-5191, CAMP PENDLETON,, CA 92055-5191
(760) 763-1601
Mailing address
32654 WILLOWVAIL CIR, TEMECULA, CA 92592-1854
(951) 303-3367

Taxonomy

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

Other

Enumeration date
05/04/2007
Last updated
07/08/2007
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