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1104134006
ANDY BURNETT
SAN DIEGO, CA
NPI
1104134006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2010-09-14
Last Update Date
2010-09-14
Business Address
MR. ANDY BURNETT INDEPENDENT DUTY HM
17144 RUETTE CAMPANA
SAN DIEGO, CA 92128-2021
Phone number: 619-884-0295
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Mailing Address
MR. ANDY BURNETT INDEPENDENT DUTY HM
17144 RUETTE CAMPANA
SAN DIEGO, CA 92128-2021
Phone number: 619-884-0295
Copy
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