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1366492969
EDWARD BRENT LENNON
CAMP LEJEUNE, NC
NPI
1366492969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2006-05-12
Last Update Date
2017-03-23
Business Address
-- EDWARD BRENT LENNON USN IDC
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-451-1053
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Mailing Address
-- EDWARD BRENT LENNON USN IDC
1141 LAKEVIEW AVE
RICHLANDS, NC 28574-8235
Phone number: 910-324-1324
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