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1639622863
MATTHEW NOWAK
SAN DIEGO, CA
NPI
1639622863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2016-07-23
Last Update Date
2016-07-23
Business Address
-- MATTHEW NOWAK
34800 BOB WILSON DR SWMI
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
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Mailing Address
-- MATTHEW NOWAK
34800 BOB WILSON DR SWMI
SAN DIEGO, CA 92134-1098
Phone number:
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