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1144623448
PIOTOR JUCHNIEWICZ
PORT HUENEME, CA
NPI
1144623448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-09-30
Last Update Date
2014-09-30
Business Address
-- PIOTOR JUCHNIEWICZ IDC
162 1ST ST
PORT HUENEME, CA 93043-4316
Phone number: 312-551-6370
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Mailing Address
-- PIOTOR JUCHNIEWICZ IDC
3168 SALMON ST
SAN DIEGO, CA 92124-3616
Phone number: 843-437-5493
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