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1588050306
LAEL FERNANDEZ
SAN DIEGO, CA
NPI
1588050306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2015-04-08
Last Update Date
2015-04-08
Business Address
-- LAEL FERNANDEZ IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 956-358-3140
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Mailing Address
-- LAEL FERNANDEZ IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 956-358-3140
Copy
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