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1225243256
WILLIAM KOGIRO FULLWOOD
FPO, AP
NPI
1225243256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-05-12
Last Update Date
2018-01-23
Business Address
WILLIAM KOGIRO FULLWOOD idc
USS TARAWA LHA 1 MEDICAL DEPARTMENT
FPO, AP 96622 1600
Phone number: 619-556-3980
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Mailing Address
WILLIAM KOGIRO FULLWOOD idc
2841 RENDOVA RD # CODEN01H
SAN DIEGO, CA 92155-5490
Phone number: 619-437-2860
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