STEPHEN MICHAEL ITO

CAMP LEJEUNE, NC
NPI1487830352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2008-01-10
Last Update Date2008-01-10
Business Address
Mr. STEPHEN MICHAEL ITO
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-8867
Mailing Address
Mr. STEPHEN MICHAEL ITO
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-8867
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