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1437760105
ANDREW ISAIS
SAN DIEGO, CA
NPI
1437760105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2020-08-14
Last Update Date
2020-08-14
Business Address
ANDREW ISAIS DEEP SEA DIVE 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
ANDREW ISAIS DEEP SEA DIVE IDC
6207 PASEO ENCANTADA
CAMARILLO, CA 93012-9421
Phone number: 805-827-0529
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