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1508042391
SCOTT DAVID EGDORF
CAMP LEJEUNE, NC
NPI
1508042391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2008-01-11
Last Update Date
2008-01-11
Business Address
-- SCOTT DAVID EGDORF IDC
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-451-5125
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Mailing Address
-- SCOTT DAVID EGDORF IDC
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-451-5125
Copy
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