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1447684907
FREDY LABRA
SAN DIEGO, CA
NPI
1447684907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2013-09-02
Last Update Date
2013-09-02
Business Address
-- FREDY LABRA SFIDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-5291
Phone number: 760-725-1288
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Mailing Address
-- FREDY LABRA SFIDC
38382 ENCANTO RD
MURRIETA, CA 92563-3211
Phone number: 951-852-7289
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