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1598389660
MATTHEW R. HESSAMFAR
SAN DIEGO, CA
NPI
1598389660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-06-03
Last Update Date
2020-06-03
Business Address
MATTHEW R. HESSAMFAR
34101 FARENHOLT AVE # 14
SAN DIEGO, CA 92134-7000
Phone number: 757-403-0670
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Mailing Address
MATTHEW R. HESSAMFAR
1623 PASEO LYRA UNIT 2
CHULA VISTA, CA 91915-1793
Phone number: 757-403-0670
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