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1477235604
RICKY HOLBERT
SAN DIEGO, CA
NPI
1477235604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
RICKY HOLBERT IDC
10219 LAFFEY CT
SAN DIEGO, CA 92124-2918
Phone number: 864-216-1415
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Mailing Address
RICKY HOLBERT IDC
10219 LAFFEY CT
SAN DIEGO, CA 92124-2918
Phone number: 864-216-1415
Copy
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