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1154491132
GARY MATTHEW VIRDELL
EVERETT, WA
NPI
1154491132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
-- GARY MATTHEW VIRDELL IDC
NAVAL HEALTH CLINIC, NAVAL STATION EVERETT BLDG 2110
EVERETT, WA 98207
Phone number: 425-304-4076
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Mailing Address
-- GARY MATTHEW VIRDELL IDC
3606 HUBLY RD
STANWOOD, WA 98292
Phone number: 360-652-2894
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