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1275668899
MARK C DUNHAM
FPO, AP
NPI
1275668899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-02-22
Last Update Date
2008-04-20
Business Address
Mr. MARK C DUNHAM BS, IDC
COMDESRON FIFTEEN PSC 473 BOX 108
FPO, AP 96349
Phone number: 513-277-0096
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Mailing Address
Mr. MARK C DUNHAM BS, IDC
2045 E RIVER RD
TRAVERSE CITY, MI 49686-8220
Phone number:
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