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1043506488
SAMUEL WINSTON
FPO, AE
NPI
1043506488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2011-06-23
Last Update Date
2011-06-23
Business Address
Mr. SAMUEL WINSTON IDC
USS GONZALEZ DDG 66
FPO, AE 09570-1284
Phone number: 757-445-6269
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Mailing Address
Mr. SAMUEL WINSTON IDC
3828 BROADLEAF CT
VIRGINIA BEACH, VA 23453-2135
Phone number: 757-285-1221
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