MICHAEL THOMAS SHORT

SAN DIEGO, CA
NPI1184046815
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2014-01-15
Last Update Date2014-01-15
Business Address
MICHAEL THOMAS SHORT
15034 AVENIDA MONTUOSA APT B
SAN DIEGO, CA 92129-1442
Phone number: 949-682-6918
Mailing Address
MICHAEL THOMAS SHORT
15034 AVENIDA MONTUOSA APT B
SAN DIEGO, CA 92129-1442
Phone number: 949-682-6918
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