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Individual

VINCENT HURTADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
1ST LAR BAS, BOX 5555642, CAMP PENDLETON, CA 92054
(760) 725-6212
Mailing address
1ST LAR BAS, BOX 5555642, CAMP PENDLETON, CA 92054
(760) 725-6212

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary

Other

Enumeration date
05/06/2015
Last updated
05/06/2015
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