DANIEL GRANT REDIFER

CAMP PENDLETON, CA
NPI1205487212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2019-09-23
Last Update Date2019-09-23
Business Address
DANIEL GRANT REDIFER SOIDC
1MRB 555341
CAMP PENDLETON, CA 92055
Phone number: 760-725-5298
Mailing Address
DANIEL GRANT REDIFER SOIDC
PO BOX 555341
CAMP PENDLETON, CA 92055-5341
Phone number: 760-725-5298
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