BRIAN KEITH HUMBLES

PORTSMOUTH, VA
NPI1568498764
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2006-06-23
Last Update Date2007-07-08
Business Address
BRIAN KEITH HUMBLES IDC
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-0515
Mailing Address
BRIAN KEITH HUMBLES IDC
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-0515
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