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1316147457
MICHAEL WATERS
THURMONT, MD
NPI
1316147457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-07-18
Last Update Date
2007-07-18
Business Address
Mr. MICHAEL WATERS IDC
14900 PARK CENTRAL ROAD NAVAL SUPPORT FACILITY
THURMONT, MD 21788
Phone number: 301-271-1460
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Mailing Address
Mr. MICHAEL WATERS IDC
10384 CHAMBERLIN COURT EAST
WALDORF, MD 20601
Phone number: 301-535-7900
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