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1174130744
DANIEL CARRERA
SAN DIEGO, CA
NPI
1174130744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
DANIEL CARRERA SFIDC
2645 W CANYON AVE APT 450
SAN DIEGO, CA 92123-4700
Phone number: 630-212-3269
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Mailing Address
DANIEL CARRERA SFIDC
2645 W CANYON AVE APT 450
SAN DIEGO, CA 92123-4700
Phone number: 630-212-3269
Copy
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