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1619181534
MARK CONWAY VALENCIA
SAN DIEGO, CA
NPI
1619181534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
Mr. MARK CONWAY VALENCIA IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 310-974-2367
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Mailing Address
Mr. MARK CONWAY VALENCIA IDC
34101 FARENHOLT AVENUE, BLDG14
SAN DIEGO, CA 92134-5291
Phone number: 310-974-2367
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