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1073669511
ELLIOTT P MIKE
ALAMEDA, CA
NPI
1073669511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Mr. ELLIOTT P MIKE PMT
1 EAGLE RD CG ISLAND
ALAMEDA, CA 94501-5100
Phone number: 510-437-6641
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Mailing Address
Mr. ELLIOTT P MIKE PMT
COMDT CG-1122 US COAST GUARD 2100 2ND ST SW, SUITE 5314
WASHINGTON, DC 20593-0001
Phone number: 510-437-6641
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