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1518374719
MATTHEW BAUER
SAN DIEGO, CA
NPI
1518374719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-07-20
Last Update Date
2014-07-20
Business Address
-- MATTHEW BAUER
3055 MINUTEMAN ST
SAN DIEGO, CA 92124-3624
Phone number: 860-639-7824
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Mailing Address
-- MATTHEW BAUER
3055 MINUTEMAN ST
SAN DIEGO, CA 92124-3624
Phone number: 860-639-7824
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