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1013526995
KOMI VENUNYE GAYAKPA
JB ANDREWS, MD
NPI
1013526995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-07-27
Last Update Date
2022-12-22
Business Address
Mr. KOMI VENUNYE GAYAKPA IDC
1060 W PERIMETER RD
JB ANDREWS, MD 20762-6602
Phone number: 651-354-8825
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Mailing Address
Mr. KOMI VENUNYE GAYAKPA IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number:
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