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1396277166
ALLAN NELSON GANUZA
SAN DIEGO, CA
NPI
1396277166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2017-03-31
Last Update Date
2017-03-31
Business Address
-- ALLAN NELSON GANUZA IDC
34800 BOB WILSON DR NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA 92134-0001
Phone number: 619-532-6400
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Mailing Address
-- ALLAN NELSON GANUZA IDC
406 E. PALMER AVE APT 10
GLENDALE, CA 91205
Phone number: 818-667-3547
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