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1174364350
NATHANIEL AMOS LEE HENDERSON
SAN DIEGO, CA
NPI
1174364350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
NATHANIEL AMOS LEE HENDERSON
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 980-253-5771
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Mailing Address
NATHANIEL AMOS LEE HENDERSON
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number:
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