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1316550106
JOHN K HOUSINGA
SAN DIEGO, CA
NPI
1316550106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-08-31
Last Update Date
2023-11-27
Business Address
Mr. JOHN K HOUSINGA
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 608-449-5583
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Mailing Address
Mr. JOHN K HOUSINGA
187 BRIDLEWOOD DR
JACKSONVILLE, NC 28540-9101
Phone number: 608-449-5583
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