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1205281052
MICHAEL ANDREW WADE
FPO, AE
NPI
1205281052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2016-04-29
Last Update Date
2016-04-29
Business Address
-- MICHAEL ANDREW WADE
USS PAUL HAMILTON
FPO, AE 96667-1278
Phone number: 619-556-9229
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Mailing Address
-- MICHAEL ANDREW WADE
USS PAUL HAMILTON
FPO, AE 96667-1278
Phone number: 619-556-9229
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