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Individual

EDWIN PAMPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-1110
Mailing address
1191 SEA STRAND LN, SAN DIEGO, CA 92154-5819

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
605903
CA
163WE0003X
Emergency Registered Nurse
Primary
605903
CA

Other

Enumeration date
03/15/2017
Last updated
03/15/2017
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