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1346400173
DELOY ANTONIO SHAW
FPO, AE
NPI
1346400173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2008-06-16
Last Update Date
2008-06-16
Business Address
-- DELOY ANTONIO SHAW IDC
MWSS 274 2D MAW UNIT 78107
FPO, AE 09509-8107
Phone number: 252-466-4521
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Mailing Address
-- DELOY ANTONIO SHAW IDC
MWSS 274 2D MAW PSC BOX 8079
FPO, AE 09509-8107
Phone number:
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