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1366721557
KATELYN MOORMAN
SAN DIEGO, CA
NPI
1366721557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2011-08-05
Last Update Date
2011-08-05
Business Address
-- KATELYN MOORMAN IDC
1637 PASEO AURORA
SAN DIEGO, CA 92154-4861
Phone number: 360-908-1985
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Mailing Address
-- KATELYN MOORMAN IDC
1637 PASEO AURORA
SAN DIEGO, CA 92154-4861
Phone number:
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