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1497726525
MARIO OSWALDO MARTIN
SAN DIEGO, CA
NPI
1497726525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-01-27
Last Update Date
2007-07-08
Business Address
Mr. MARIO OSWALDO MARTIN idc
2446 TRIDENT WAY
SAN DIEGO, CA 92155-5494
Phone number: 619-437-0777
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Mailing Address
Mr. MARIO OSWALDO MARTIN idc
304 AGUA VISTA WAY
SAN DIEGO, CA 92114-5216
Phone number: 619-723-6724
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