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1609419001
OLIVER COLOMBINE
SAN DIEGO, CA
NPI
1609419001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2019-10-18
Last Update Date
2019-10-18
Business Address
Mr. OLIVER COLOMBINE
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
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Mailing Address
Mr. OLIVER COLOMBINE
2615 MISTY LAUREL CT
KATY, TX 77494-1791
Phone number: 954-612-9544
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