THOMAS CLEON JORGENSEN

SAN DIEGO, CA
NPI1316725633
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2023-09-18
Last Update Date2023-09-18
Business Address
THOMAS CLEON JORGENSEN Deep Sea Diving IDC
4588 50TH ST
SAN DIEGO, CA 92115-3305
Phone number: 850-530-5141
Mailing Address
THOMAS CLEON JORGENSEN Deep Sea Diving IDC
4588 50TH ST
SAN DIEGO, CA 92115-3305
Phone number: 850-530-5141
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