ALLEN CHASE ENNIS

OCEANSIDE, CA
NPI1619310315
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-04-11
Last Update Date2013-04-11
Business Address
Mr. ALLEN CHASE ENNIS IDC
720 RODEO ST
OCEANSIDE, CA 92058-6881
Phone number: 910-922-6128
Mailing Address
Mr. ALLEN CHASE ENNIS IDC
720 RODEO ST
OCEANSIDE, CA 92058-6881
Phone number: 910-922-6128
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