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1275113128
NICHOLAS FARRIS
CAMP PENDLETON, CA
NPI
1275113128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
NICHOLAS FARRIS Soidc
4101 STUART MESA ROAD
CAMP PENDLETON, CA 92055
Phone number: 760-763-2118
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Mailing Address
NICHOLAS FARRIS Soidc
1ST RECONNAISSANCE BATTALION, PSC BOX 555584 4101 STUART MESA ROAD
CAMP PENDLETON, CA 92055
Phone number: 540-446-9171
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