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1093227985
ROGER J O'BRIEN
SAN DIEGO, CA
NPI
1093227985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2017-10-31
Last Update Date
2017-10-31
Business Address
ROGER J O'BRIEN SFIDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
ROGER J O'BRIEN SFIDC
3627 36TH ST
SAN DIEGO, CA 92104-4408
Phone number: 941-718-8496
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