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1346636321
JASON FOUT
SAN DIEGO, CA
NPI
1346636321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2015-04-07
Last Update Date
2015-04-07
Business Address
-- JASON FOUT
34101 FARENHOLT AVE BUILDING 14
SAN DIEGO, CA 92134-0001
Phone number: 619-532-7968
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Mailing Address
-- JASON FOUT
34101 FARENHOLT AVE BUILDING 14
SAN DIEGO, CA 92134-0001
Phone number: 619-532-7968
Copy
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