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1205298510
JOEBEN ESTACIO
SAN DIEGO, CA
NPI
1205298510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2016-03-25
Last Update Date
2016-03-25
Business Address
-- JOEBEN ESTACIO
1440 HOTEL CIRCLE N APT 212
SAN DIEGO, CA 92108
Phone number: 727-871-9499
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Mailing Address
-- JOEBEN ESTACIO
1440 HOTEL CIR N APT 212
SAN DIEGO, CA 92108-2906
Phone number: 727-871-9499
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