MATTHEW BAUER

SAN DIEGO, CA
NPI1518374719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2014-07-20
Last Update Date2014-07-20
Business Address
-- MATTHEW BAUER
3055 MINUTEMAN ST
SAN DIEGO, CA 92124-3624
Phone number: 860-639-7824
Mailing Address
-- MATTHEW BAUER
3055 MINUTEMAN ST
SAN DIEGO, CA 92124-3624
Phone number: 860-639-7824
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