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1043606205
J WILLIAM KIRK
SAN DIEGO, CA
NPI
1043606205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2015-04-14
Last Update Date
2018-06-11
Business Address
Mr. J WILLIAM KIRK IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 858-539-5507
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Mailing Address
Mr. J WILLIAM KIRK IDC
UNIT 100331 BOX 1
FPO, AE 09513-3100
Phone number: 757-443-8798
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