DAELEN ROBERT JOHNSEN

SAN DIEGO, CA
NPI1063207066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2025-04-10
Last Update Date2025-04-10
Business Address
DAELEN ROBERT JOHNSEN
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
Mailing Address
DAELEN ROBERT JOHNSEN
761 GEORGIA ST
IMPERIAL BEACH, CA 91932-2344
Phone number: 904-657-7075
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