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1093138042
SHANE WORLAND
SAN DIEGO, CA
NPI
1093138042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-01-28
Last Update Date
2014-01-28
Business Address
-- SHANE WORLAND IDC
NAVAL MEDICAL CTR 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134-0001
Phone number: 757-375-7598
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Mailing Address
-- SHANE WORLAND IDC
1558 SAN JAVIER CT # 3
CHULA VISTA, CA 91913-2534
Phone number: 757-375-7598
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