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1083237549
GAVINO MARTIN LOPEZ
CAMP PENDLETON, CA
NPI
1083237549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
GAVINO MARTIN LOPEZ SOIDC
1ST MARINE RAIDER BATTALION MEDICAL 555341
CAMP PENDLETON, CA 92055-5341
Phone number: 760-725-2589
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Mailing Address
GAVINO MARTIN LOPEZ SOIDC
PO BOX 555341
CAMP PENDLETON, CA 92055-5341
Phone number:
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