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1578085213
LUIS MEDINAREYES
FPO, AE
NPI
1578085213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2017-07-14
Last Update Date
2017-07-14
Business Address
Mr. LUIS MEDINAREYES
USS DONALD COOK (DDG 75) UNIT 100516 BOX 1
FPO, AE 09566
Phone number: 757-816-8076
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Mailing Address
Mr. LUIS MEDINAREYES
3966 60TH ST UNIT 52
SAN DIEGO, CA 92115-6554
Phone number:
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