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1366966962
OWEN WILHELM HORTON
VIRGINIA BEACH, VA
NPI
1366966962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2017-07-26
Last Update Date
2017-07-26
Business Address
OWEN WILHELM HORTON IDC
472 POLARIS ST BLDG 586
VIRGINIA BEACH, VA 23461-1935
Phone number: 503-862-0060
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Mailing Address
OWEN WILHELM HORTON IDC
472 POLARIS ST BLDG 586
VIRGINIA BEACH, VA 23461-1935
Phone number: 757-862-0060
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