JUSTIN RAY LANCASTER

GULFPORT, MS
NPI1073831376
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2010-05-11
Last Update Date2010-05-11
Business Address
Mr. JUSTIN RAY LANCASTER IDC
5301 BAINBRIDGE AVE
GULFPORT, MS 39501-9026
Phone number: 228-871-4158
Mailing Address
Mr. JUSTIN RAY LANCASTER IDC
2005 OVERLAND TRL
CORPUS CHRISTI, TX 78410-1857
Phone number: 619-379-4166
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