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1043680499
THOMAS POLK
SAN DIEGO, CA
NPI
1043680499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2015-09-28
Last Update Date
2015-09-28
Business Address
-- THOMAS POLK
2609 W CANYON AVE APT 307
SAN DIEGO, CA 92123-4729
Phone number: 972-730-5399
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Mailing Address
-- THOMAS POLK
2609 W CANYON AVE APT 307
SAN DIEGO, CA 92123-4729
Phone number:
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