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1235181058
DANIEL WILLIAM FEEBACK
NORFOLK, VA
NPI
1235181058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-05-17
Last Update Date
2012-12-20
Business Address
Mr. DANIEL WILLIAM FEEBACK IDC
667 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH MEDICAL DEPARTMENT(CODE NO2M)
NORFOLK, VA 23511-2419
Phone number: 757-443-0026
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Mailing Address
Mr. DANIEL WILLIAM FEEBACK IDC
4121 SHORELINE CIR APT 118
VIRGINIA BEACH, VA 23452-2165
Phone number: 757-469-9642
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