JOHN LAYNE BURGESS

CAMP LEJEUNE, NC
NPI1235673054
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2016-12-13
Last Update Date2016-12-13
Business Address
-- JOHN LAYNE BURGESS SOIDC
2D MARINE RAIDER BATTALION PSC BOX 20183
CAMP LEJEUNE, NC 28542-0183
Phone number: 208-312-1165
Mailing Address
-- JOHN LAYNE BURGESS SOIDC
2D MARINE RAIDER BATTALION PSC BOX 20183
CAMP LEJEUNE, NC 28542-0183
Phone number: 208-312-1165
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