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1023330453
RANDALL BRUCE DURGIN
SAN DIEGO, CA
NPI
1023330453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2010-02-26
Last Update Date
2010-02-26
Business Address
-- RANDALL BRUCE DURGIN IDC
3325 SENN RD BLDG 55 MEDICAL DEPT
SAN DIEGO, CA 92136-5029
Phone number: 619-556-2724
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Mailing Address
-- RANDALL BRUCE DURGIN IDC
3325 SENN RD BLDG 55 MEDICAL DEPT
SAN DIEGO, CA 92136-5029
Phone number: 619-556-2724
Copy
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