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1346675865
RICHARD EDWARD SPELLS
SAN DIEGO, CA
NPI
1346675865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2013-09-04
Last Update Date
2013-09-04
Business Address
-- RICHARD EDWARD SPELLS IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-6195
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Mailing Address
-- RICHARD EDWARD SPELLS IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-6195
Copy
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