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1023291788
JAY D CARSON
KINGS BAY, GA
NPI
1023291788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-12-17
Last Update Date
2007-12-17
Business Address
Mr. JAY D CARSON
1050 USS GEROGIA AVE
KINGS BAY, GA 31547
Phone number: 912-674-8679
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Mailing Address
Mr. JAY D CARSON
1050 USS GEROGIA AVE
KINGS BAY, GA 31547
Phone number: 912-674-8679
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