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1336455443
PURVIS QUINTIN WILLIAMS
APO, AP
NPI
1336455443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2010-08-26
Last Update Date
2010-08-26
Business Address
-- PURVIS QUINTIN WILLIAMS IDC
USS INDEPENDENCE LCS 2
APO, AP 96668-0103
Phone number: 619-556-3294
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Mailing Address
-- PURVIS QUINTIN WILLIAMS IDC
8352 KRENZ ST
SAN DIEGO, CA 92123
Phone number: 619-556-3294
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