ROHN DALE WALLACE

SILVERDALE, WA
NPI1467480939
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-06-30
Last Update Date2007-07-08
Business Address
-- ROHN DALE WALLACE SUBMARINE IDC
USS OHIO SSGN 726 GOLD
SILVERDALE, WA 98312
Phone number: 360-476-8351
Mailing Address
-- ROHN DALE WALLACE SUBMARINE IDC
4417 WATERMAN RIDGE LN E
PORT ORCHARD, WA 98366-8001
Phone number:
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