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1164849436
MAURICE FERNANDEZ
SAN DIEGO, CA
NPI
1164849436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-03-25
Last Update Date
2014-03-25
Business Address
Mr. MAURICE FERNANDEZ IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-5000
Phone number: 619-532-7801
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Mailing Address
Mr. MAURICE FERNANDEZ IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-5000
Phone number: 619-532-7801
Copy
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