CHRIS BLANE CASSELL

CAMP LEJEUNE, NC
NPI1578765681
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: NC  ATP03016789CC)
Enumeration Date2007-06-01
Last Update Date2007-07-08
Business Address
-- CHRIS BLANE CASSELL Military IDC
PSC BOX 20138
CAMP LEJEUNE, NC 28542-0138
Phone number: 910-450-7719
Mailing Address
-- CHRIS BLANE CASSELL Military IDC
213 OAK GROVE CIR
HUBERT, NC 28539-3435
Phone number: 910-450-7719