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1043752066
PHILIP TRENT
FPO, AP
NPI
1043752066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2016-11-08
Last Update Date
2016-11-08
Business Address
PHILIP TRENT IDC
USS O'KANE DDG,BOX 1, UNIT 100189
FPO, AP 96674
Phone number: 808-471-0741
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Mailing Address
PHILIP TRENT IDC
2615 KILMARNOCK CT
MATTHEWS, NC 28105-4083
Phone number: 704-619-8656
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