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1154629335
PHIRUM PETER SARY
SAN DIEGO, CA
NPI
1154629335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2011-03-11
Last Update Date
2011-03-11
Business Address
-- PHIRUM PETER SARY IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
Phone number: 619-532-6233
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Mailing Address
-- PHIRUM PETER SARY IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
Phone number: 619-532-6233
Copy
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