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MATTHEW R KUGELMAN HS

>> Military Health Care Provider >> Other Service Providers

Registrant NPI Number: 1437369584

Individual Registrant:
 MATTHEW R KUGELMAN HS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6037 PRICE AVE  MCCLELLAN, CA 95652-2400 US
Tel: 916-561-7568  Fax: 916-561-7568

Contact information for business:
6037 PRICE AVE  MCCLELLAN, CA 95652-2400 US
Tel: 916-561-7568  Fax: 916-561-7568

Registration Information:
NPI: 1437369584
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171000000XOther Service Providers
Military Health Care Provider

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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