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1083466296
JAMES EDWIN EWEN
SAN DIEGO, CA
NPI
1083466296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2024-04-02
Last Update Date
2024-04-02
Business Address
JAMES EDWIN EWEN
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 541-270-6786
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Mailing Address
JAMES EDWIN EWEN
PO BOX 112
PALOMAR MOUNTAIN, CA 92060-0112
Phone number: 541-270-6786
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