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1053690610
JUSTIN MEL MILLARD
CHULA VISTA, CA
NPI
1053690610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2011-08-12
Last Update Date
2011-08-12
Business Address
Mr. JUSTIN MEL MILLARD IDC
825 E PALOMAR ST
CHULA VISTA, CA 91911-6992
Phone number: 619-204-4732
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Mailing Address
Mr. JUSTIN MEL MILLARD IDC
825 E PALOMAR ST
CHULA VISTA, CA 91911-6992
Phone number: 619-204-4732
Copy
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