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1093218117
LUKE ANDREW AUSTIN
SAN DIEGO, CA
NPI
1093218117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2018-03-15
Last Update Date
2018-03-15
Business Address
LUKE ANDREW AUSTIN IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
LUKE ANDREW AUSTIN IDC
3955 7TH AVENUE APARTMENT 32
SAN DIEGO, CA 92103
Phone number:
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