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1487099008
CARLOS J GOMEZ
SAN DIEGO, CA
NPI
1487099008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2013-05-09
Last Update Date
2013-05-09
Business Address
Mr. CARLOS J GOMEZ IDC
2424 RENDOVA RD BLDG 156
SAN DIEGO, CA 92155-5041
Phone number: 619-735-2452
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Mailing Address
Mr. CARLOS J GOMEZ IDC
2424 RENDOVA RD BLDG 156
SAN DIEGO, CA 92155-5041
Phone number:
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