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1437740131
JOSHUA ISAAC LAZENBY
SAN DIEGO, CA
NPI
1437740131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
JOSHUA ISAAC LAZENBY US Navy HM IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
JOSHUA ISAAC LAZENBY US Navy HM IDC
1391 WOODEN VALLEY ST
CHULA VISTA, CA 91913-2949
Phone number: 704-239-3585
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