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1104200997
LUIS RODRIGUEZ
FPO, AP
NPI
1104200997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2015-07-13
Last Update Date
2015-07-13
Business Address
LUIS RODRIGUEZ
USS BREMERTON # 698
FPO, AP 96661-2378
Phone number: 830-279-3655
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Mailing Address
LUIS RODRIGUEZ
23 FIRETHORN AVE
GROTON, CT 06340-2519
Phone number:
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