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1093183386
JONATHAN FRYE
CAMP LEJEUNE, NC
NPI
1093183386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2015-09-03
Last Update Date
2015-09-03
Business Address
-- JONATHAN FRYE
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-9160
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Mailing Address
-- JONATHAN FRYE
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-9160
Copy
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