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1285682401
TOBY JASON DEGENHARDT
CAMP LEJEUNE, NC
NPI
1285682401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: TX 1153286)
Enumeration Date
2006-05-04
Last Update Date
2013-08-06
Business Address
-- TOBY JASON DEGENHARDT P.T.
100 BREWSTER BLVD 100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-4159
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Mailing Address
-- TOBY JASON DEGENHARDT P.T.
100 BREWSTER BLVD NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-4159
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