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1487336608
MIKAEL ANTANG
SAN DIEGO, CA
NPI
1487336608
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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
MIKAEL ANTANG IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
MIKAEL ANTANG IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number:
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