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1144820002
LEVI PARA
CAMP LEJEUNE, NC
NPI
1144820002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-10-29
Last Update Date
2020-10-30
Business Address
LEVI PARA SOIDC
2D RECONNAISSANCE BN PSC 20138
CAMP LEJEUNE, NC 28452-0138
Phone number: 910-440-7703
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Mailing Address
LEVI PARA SOIDC
2110 W MCMANAMON RD
OTHELLO, WA 99344-9027
Phone number: 509-308-0864
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