Individual
ALEX RUBANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1659 7TH ST, TWENTYNINE PALMS, CA 92278-8285
(760) 830-7173
Mailing address
PO BOX 788285, TWENTYNINE PALMS, CA 92278-8285
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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