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1639793748
JOHNATHON T BREWER
JACKSONVILLE, NC
NPI
1639793748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2020-06-04
Last Update Date
2020-06-04
Business Address
JOHNATHON T BREWER IDC
100 WHITE ST
JACKSONVILLE, NC 28540
Phone number: 910-449-5064
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Mailing Address
JOHNATHON T BREWER IDC
100 WHITE ST
JACKSONVILLE, NC 28540
Phone number: 910-449-5064
Copy
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