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1205600962
MATTHEW AARON POORMAN
SAN DIEGO, CA
NPI
1205600962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-11-13
Last Update Date
2023-11-13
Business Address
MATTHEW AARON POORMAN SFIDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
MATTHEW AARON POORMAN SFIDC
325 7TH AVE UNIT 808
SAN DIEGO, CA 92101-7179
Phone number: 407-818-8193
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