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1285020354
CARRIE CONN
SAN DIEGO, CA
NPI
1285020354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2015-04-15
Last Update Date
2015-04-15
Business Address
CARRIE CONN IDC
4981 CATOCTIN DR APT 6
SAN DIEGO, CA 92115-2612
Phone number: 757-374-9167
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Mailing Address
CARRIE CONN IDC
4981 CATOCTIN DR APT 6
SAN DIEGO, CA 92115-2612
Phone number: 757-374-9167
Copy
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