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1164748174
BRENT C POPE
FPO, AE
NPI
1164748174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2010-04-15
Last Update Date
2010-04-15
Business Address
Mr. BRENT C POPE IDC
PSC 451 BOX 340
FPO, AE 09834-2800
Phone number: 9733-641-8157
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Mailing Address
Mr. BRENT C POPE IDC
2234 SW WARBLER WAY
PORT ORCHARD, WA 98367-6205
Phone number: 360-874-0501
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