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1578961728
BRYAN ALLEN
SAN DIEGO, CA
NPI
1578961728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-12-19
Last Update Date
2014-12-19
Business Address
-- BRYAN ALLEN
2006 PELICAN HILL RD
SAN DIEGO, CA 92139-1151
Phone number: 803-236-0332
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Mailing Address
-- BRYAN ALLEN
2006 PELICAN HILL RD
SAN DIEGO, CA 92139-1151
Phone number: 803-236-0332
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