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1255883567
CORY SHANE HOPPER
SAN DIEGO, CA
NPI
1255883567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2016-11-03
Last Update Date
2016-11-03
Business Address
Mr. CORY SHANE HOPPER
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-9712
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Mailing Address
Mr. CORY SHANE HOPPER
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-9712
Copy
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