Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jonathan Blakely Brugge, BASWCADCA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689920985

Mr. Jonathan Blakely Brugge, BASWCADCA is a Student in an Organized Health Care Education/Training Program in South Pasadena, California. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

616 Prospect Ave Apt 2
South Pasadena, CA 91030-2433
Phone: (323) 770-2345
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1689920985
Entity typeIndividual (Type 1)
GenderMale
Credentials BASWCADCA
Sole proprietorYes
NPI enumeratedJuly 24, 2012
Last updated in NPPESSeptember 19, 2012

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