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1427575349
DAVID TYLER BAUER
SAN DIEGO, CA
NPI
1427575349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2017-08-23
Last Update Date
2017-08-23
Business Address
Mr. DAVID TYLER BAUER IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-961-8787
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Mailing Address
Mr. DAVID TYLER BAUER IDC
PO BOX 700
GROTON, CT 06349-5700
Phone number: 619-961-8787
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