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1134562846
STEWART BRUCE BUTLER
SAN DIEGO, CA
NPI
1134562846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2013-04-11
Last Update Date
2013-04-11
Business Address
-- STEWART BRUCE BUTLER IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 760-207-7772
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Mailing Address
-- STEWART BRUCE BUTLER IDC
1134 PALAU RD
CORONADO, CA 92118-3132
Phone number: 760-207-7772
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