LUIS VICTOR FERNANDEZ

GREAT LAKES, IL
NPI1144588039
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2012-04-27
Last Update Date2012-04-27
Business Address
Mr. LUIS VICTOR FERNANDEZ
2410 SAMPSON ST
GREAT LAKES, IL 60088-2942
Phone number: 847-688-2469
Mailing Address
Mr. LUIS VICTOR FERNANDEZ
2410 SAMPSON ST. BLDG 237
GREAT LAKES, IL 60088
Phone number: 847-688-2469
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