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1275500365
FERNANDO JUAREZ
PORT HUENEME, CA
NPI
1275500365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-03-07
Last Update Date
2007-07-08
Business Address
Mr. FERNANDO JUAREZ other
4643 DOCK RD BLDG 524
PORT HUENEME, CA 93043-4321
Phone number: 805-982-4261
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Mailing Address
Mr. FERNANDO JUAREZ other
4643 DOCK RD BLDG 524
PORT HUENEME, CA 93043-4321
Phone number: 805-982-4261
Copy
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