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1265268791
MATTHEW ADAM MAMASIG
SAN DIEGO, CA
NPI
1265268791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2024-09-11
Last Update Date
2024-09-11
Business Address
MATTHEW ADAM MAMASIG IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-479-9909
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Mailing Address
MATTHEW ADAM MAMASIG IDC
2620 DUSK DR
SAN DIEGO, CA 92139-2414
Phone number: 619-392-6620
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