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1629033907
MORRELL J LAVENDER
SAN DIEGO, CA
NPI
1629033907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-04-19
Last Update Date
2008-01-10
Business Address
Mr. MORRELL J LAVENDER
2650 STOCKTON RD BLDG 624 NAVAL TRAINING CENTER
SAN DIEGO, CA 92106-6000
Phone number: 619-524-5733
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Mailing Address
Mr. MORRELL J LAVENDER
2650 STOCKTON RD BLDG 624 NAVAL TRAINING CENTER
SAN DIEGO, CA 92106-6000
Phone number: 619-524-5733
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