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1053896514
ROY ATALLAH
CAMP LEJEUNE, NC
NPI
1053896514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2018-10-01
Last Update Date
2018-10-01
Business Address
ROY ATALLAH IDC
2ND MARINE RAIDER BATTALION
CAMP LEJEUNE, NC 28542
Phone number: 508-272-2518
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Mailing Address
ROY ATALLAH IDC
2ND MARINE RAIDER BATTALION PSC BOX 20183
CAMP LEJEUNE, NC 28542
Phone number:
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