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1407341639
BRADFORD JOSHUA ALLISON
SAN DIEGO, CA
NPI
1407341639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2018-06-29
Last Update Date
2018-06-29
Business Address
BRADFORD JOSHUA ALLISON Deep Sea IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 309-781-9399
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Mailing Address
BRADFORD JOSHUA ALLISON Deep Sea IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 309-781-9399
Copy
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