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1366499253
GEORGES CUSTODIO TAINO
BREMERTON, WA
NPI
1366499253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2006-05-27
Last Update Date
2007-07-08
Business Address
MR. GEORGES CUSTODIO TAINO IDC
1400 FARRAGUT AVE
BREMERTON, WA 98314-6001
Phone number: 360-476-4023
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Mailing Address
MR. GEORGES CUSTODIO TAINO IDC
5120 NW WHISPER ST
SILVERDALE, WA 98383-8338
Phone number: 360-698-2773
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