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1255692927
JUSTIN RAY VIRAMONTES
FPO, AP
NPI
1255692927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2012-05-30
Last Update Date
2012-05-30
Business Address
Mr. JUSTIN RAY VIRAMONTES
USS JOHN S MCCAIN (DDG 56)
FPO, AP 96672-1274
Phone number: 312-241-9966
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Mailing Address
Mr. JUSTIN RAY VIRAMONTES
10316 TAUSSIG CT
SAN DIEGO, CA 92124
Phone number:
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