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1013195718
CARLETUS M PATRICK
SAN DIEGO, CA
NPI
1013195718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2008-02-05
Last Update Date
2011-09-06
Business Address
-- CARLETUS M PATRICK IDC
2450 CRAVEN ST
SAN DIEGO, CA 92136-5599
Phone number: 619-556-6081
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Mailing Address
-- CARLETUS M PATRICK IDC
1616 SAN BERNARDINO AVE
SPRING VALLEY, CA 91977-4650
Phone number: 619-694-9040
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