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1336536531
JEFFREY ALEXANDER LEEMAUK
GULFPORT, MS
NPI
1336536531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2015-04-25
Last Update Date
2015-04-25
Business Address
JEFFREY ALEXANDER LEEMAUK IDC
4010A BLUE HERON WAY
GULFPORT, MS 39501-2815
Phone number: 210-428-8050
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Mailing Address
JEFFREY ALEXANDER LEEMAUK IDC
4010A BLUE HERON WAY
GULFPORT, MS 39501-2815
Phone number:
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