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1215327168
LUKE LANCE KEENE
CAMP LEJEUNE, NC
NPI
1215327168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2015-01-30
Last Update Date
2015-01-30
Business Address
Mr. LUKE LANCE KEENE SOIDC
MARSOC PSC BOX 20073
CAMP LEJEUNE, NC 28542-0073
Phone number: 910-449-9967
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Mailing Address
Mr. LUKE LANCE KEENE SOIDC
3D MSOB PSC BOX 20073
CAMP LEJEUNE, NC 28542-0073
Phone number: 910-449-9967
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