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1285698969
MANUEL CONTRERAS
PEARL HARBOR, HI
NPI
1285698969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2006-04-12
Last Update Date
2007-07-08
Business Address
MR. MANUEL CONTRERAS IDC
USS RUSSELL DDG59
PEARL HARBOR, HI 96782
Phone number: 808-471-4794
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Mailing Address
MR. MANUEL CONTRERAS IDC
185 AUSTIN CT
PEARL CITY, HI 96782-3406
Phone number: 808-782-5484
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