MITCHEL GRANDE DEGUZMAN

SAN DIEGO, CA
NPI1487928057
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2012-02-29
Last Update Date2012-02-29
Business Address
MR. MITCHEL GRANDE DEGUZMAN IDC
34101 FARENHOLT AVE BUILDING 14
SAN DIEGO, CA 92134-5291
Phone number: 619-252-8557
Mailing Address
MR. MITCHEL GRANDE DEGUZMAN IDC
PO BOX 555381
CAMP PENDLETON, CA 92055-5381
Phone number: 760-725-8805
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