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1083275762
TYLER BRADSHAW THOMPSON
SAN DIEGO, CA
NPI
1083275762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
TYLER BRADSHAW THOMPSON IDC
34, FARENHOLT AVE
SAN DIEGO, CA 92134-0001
Phone number: 619-532-7962
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Mailing Address
TYLER BRADSHAW THOMPSON IDC
10061 RIO SAN DIEGO DR APT 302
SAN DIEGO, CA 92108-5659
Phone number: 740-424-5556
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