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1104108711
JASON PATRICK CORDERO
SAN DIEGO, CA
NPI
1104108711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2011-09-10
Last Update Date
2011-09-10
Business Address
Mr. JASON PATRICK CORDERO IDC
5038 COVE VIEW PL
SAN DIEGO, CA 92154-8447
Phone number: 619-201-4430
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Mailing Address
Mr. JASON PATRICK CORDERO IDC
5038 COVE VIEW PL
SAN DIEGO, CA 92154-8447
Phone number: 619-201-4430
Copy
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