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1568631539
JUAN CARLOS VAZQUEZ
OCEANSIDE, CA
NPI
1568631539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2008-02-25
Last Update Date
2008-02-25
Business Address
JUAN CARLOS VAZQUEZ NAVY IDC
3936 BAJA VISTA DR
OCEANSIDE, CA 92058-7973
Phone number: 858-539-6223
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Mailing Address
JUAN CARLOS VAZQUEZ NAVY IDC
3936 BAJA VISTA DR
OCEANSIDE, CA 92058-7973
Phone number: 858-539-6223
Copy
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