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1447657002
ALEXANDER P HAEDO-GONZALEZ
SAN DIEGO, CA
NPI
1447657002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-11-25
Last Update Date
2014-11-25
Business Address
-- ALEXANDER P HAEDO-GONZALEZ
4590 ZION AVE APT 13
SAN DIEGO, CA 92120-2537
Phone number: 850-375-3984
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Mailing Address
-- ALEXANDER P HAEDO-GONZALEZ
4590 ZION AVE APT 13
SAN DIEGO, CA 92120-2537
Phone number: 850-375-3984
Copy
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