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1336471374
WILLIAM LEE FAIRALL
WILMINGTON, NC
NPI
1336471374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2010-02-02
Last Update Date
2010-02-02
Business Address
-- WILLIAM LEE FAIRALL SOIDC
8161 RED COCKADED CT APT 103
WILMINGTON, NC 28411-7186
Phone number: 443-521-1778
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Mailing Address
-- WILLIAM LEE FAIRALL SOIDC
8161 RED COCKADED CT APT 103
WILMINGTON, NC 28411-7186
Phone number: 443-521-1778
Copy
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