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1477766871
MICHAEL ROBERT GROHMAN
CAMP PENDLETON, CA
NPI
1477766871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL ROBERT GROHMAN IDC
41256 STEWART MESA RD
CAMP PENDLETON, CA 92055-5341
Phone number: 760-725-5250
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Mailing Address
Mr. MICHAEL ROBERT GROHMAN IDC
PO BOX 555341
CAMP PENDLETON, CA 92055-5341
Phone number: 760-725-5250
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