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1013793751
SHANE MCGUIRE
OCEANSIDE, CA
NPI
1013793751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-09-07
Last Update Date
2023-09-07
Business Address
SHANE MCGUIRE FMF Recon IDC
200 MERCY CIRCLE
OCEANSIDE, CA 92055
Phone number: 760-725-8912
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Mailing Address
SHANE MCGUIRE FMF Recon IDC
PO BOX 555584
CAMP PENDLETON, CA 92055-5584
Phone number:
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