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1619255205
BENJAMIN HUDDLESTON
SAN DIEGO, CA
NPI
1619255205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2011-07-30
Last Update Date
2011-07-30
Business Address
-- BENJAMIN HUDDLESTON
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-744-5301
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Mailing Address
-- BENJAMIN HUDDLESTON
11067 CAMINO PLAYA CARMEL
SAN DIEGO, CA 92124-4141
Phone number: 256-714-6669
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