BRANDON JAY SMITH

CAMP LEJEUNE, NC
NPI1558886242
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2017-08-03
Last Update Date2017-08-03
Business Address
BRANDON JAY SMITH NAVY IDC
E STREET BLDG G770
CAMP LEJEUNE, NC 28540
Phone number: 312-800-3019
Mailing Address
BRANDON JAY SMITH NAVY IDC
110 COLES FARM DR
JACKSONVILLE, NC 28546-8753
Phone number: 312-800-3019
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