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1205487212
DANIEL GRANT REDIFER
CAMP PENDLETON, CA
NPI
1205487212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
DANIEL GRANT REDIFER SOIDC
1MRB 555341
CAMP PENDLETON, CA 92055
Phone number: 760-725-5298
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Mailing Address
DANIEL GRANT REDIFER SOIDC
PO BOX 555341
CAMP PENDLETON, CA 92055-5341
Phone number: 760-725-5298
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