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1093912149
CHRISTOPHER DOUGLAS KOTZ
SAN DIEGO, CA
NPI
1093912149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2007-07-02
Last Update Date
2008-01-08
Business Address
MR. CHRISTOPHER DOUGLAS KOTZ IDC
3325 SENN RD BUILDING 55, ROOM 225
SAN DIEGO, CA 92136-5029
Phone number: 619-556-5454
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Mailing Address
MR. CHRISTOPHER DOUGLAS KOTZ IDC
13044 YERBA VALLEY WAY
LAKESIDE, CA 92040-1579
Phone number: 817-881-8696
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