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1396254116
JOHN EDWARD BOHAN
CAMP PENDLETON, CA
NPI
1396254116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2017-09-25
Last Update Date
2017-09-25
Business Address
JOHN EDWARD BOHAN
21 AREA DEL MAR CLINIC NHCP BOX 555191
CAMP PENDLETON, CA 92055
Phone number: 760-725-2142
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Mailing Address
JOHN EDWARD BOHAN
266 DIAMANTE WAY
OCEANSIDE, CA 92056-3763
Phone number: 760-305-3296
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