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1235835455
DEREK ANTHONY PINNOW
SAN DIEGO, CA
NPI
1235835455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-01-31
Last Update Date
2023-01-31
Business Address
DEREK ANTHONY PINNOW
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 414-550-6195
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Mailing Address
DEREK ANTHONY PINNOW
2635 B ST
SAN DIEGO, CA 92102-1021
Phone number: 414-550-6195
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