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1407046766
MELANIO AYHON RIVERA
CAMP LEJEUNE, NC
NPI
1407046766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-08-01
Last Update Date
2007-08-01
Business Address
Mr. MELANIO AYHON RIVERA IDC
CG II MEF
CAMP LEJEUNE, NC 28542
Phone number: 910-451-0451
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Mailing Address
Mr. MELANIO AYHON RIVERA IDC
211 MARINE DR
N TOPSAIL BEACH, NC 28460-6778
Phone number: 910-327-0636
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