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1508873092
EDWIN SOTO
CAMP LEJEUNE, NC
NPI
1508873092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
Mr. EDWIN SOTO IDC
COMBAT LOGISTICS REGIMENT 27 2D MARINE LOGISTICS GROUP, PSC BOX 20125
CAMP LEJEUNE, NC 28542-0125
Phone number: 910-450-6673
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Mailing Address
Mr. EDWIN SOTO IDC
1003 PINE VALLEY RD
JACKSONVILLE, NC 28546-1647
Phone number:
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