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1356843031
PHILLIP JOHN BAINS
SAN DIEGO, CA
NPI
1356843031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2018-03-08
Last Update Date
2018-03-08
Business Address
Mr. PHILLIP JOHN BAINS IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-419-8870
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Mailing Address
Mr. PHILLIP JOHN BAINS IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-419-8870
Copy
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