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1366773038
MARIO M FARIA
SILVERDALE, WA
NPI
1366773038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2010-01-20
Last Update Date
2010-01-20
Business Address
-- MARIO M FARIA
2100 THRESHER AVE USS PENNSYLVANIA SSBN 735
SILVERDALE, WA 98315
Phone number: 360-476-6812
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Mailing Address
-- MARIO M FARIA
2100 THRESHER AVE USS PENNSYLVANIA SSBN 735
SILVERDALE, WA 98315
Phone number:
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