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1487078069
SHAWN NEIL
SAN DIEGO, CA
NPI
1487078069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2014-02-18
Last Update Date
2014-02-18
Business Address
SHAWN NEIL IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
SHAWN NEIL IDC
10151 COLLETT WAY
SAN DIEGO, CA 92124-2902
Phone number: 619-846-4396
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