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1043597768
BRENDAN MICHAEL MOORE
CAMP LEJEUNE, NC
NPI
1043597768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: NC 39352435)
Enumeration Date
2011-11-09
Last Update Date
2011-11-09
Business Address
-- BRENDAN MICHAEL MOORE
2D MARINE SPECIAL OPERATIONS BATTALION PCS BOX 20183
CAMP LEJEUNE, NC 28542-0183
Phone number: 910-440-7704
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Mailing Address
-- BRENDAN MICHAEL MOORE
2D MARINE SPECIAL OPERATIONS BATTALION PCS BOX 20183
CAMP LEJEUNE, NC 28542-0183
Phone number: 910-440-7704
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