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1023754074
DAVID SULLIVAN AXFORD
CAMP LEJEUNE, NC
NPI
1023754074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine
(Licence: VA 0102208020)
Enumeration Date
2022-05-11
Last Update Date
2024-08-01
Business Address
Dr. DAVID SULLIVAN AXFORD DO
33 HOLCOMB BLVD
CAMP LEJEUNE, NC 28547-2502
Phone number: 910-440-2463
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Mailing Address
Dr. DAVID SULLIVAN AXFORD DO
33 HOLCOMB BLVD
CAMP LEJEUNE, NC 28547-2502
Phone number: 757-953-2339
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