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1134580913
EMILIO CASENAVE
SAN DIEGO, CA
NPI
1134580913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2016-03-08
Last Update Date
2016-03-08
Business Address
Mr. EMILIO CASENAVE IDC
6031 SANDY SHORE CT
SAN DIEGO, CA 92139-1014
Phone number: 305-399-3752
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Mailing Address
Mr. EMILIO CASENAVE IDC
6031 SANDY SHORE CT
SAN DIEGO, CA 92139-1014
Phone number: 305-399-3752
Copy
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