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1649447244
PAUL RICKY ENA
CAMP PENDLETON, CA
NPI
1649447244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2008-05-13
Last Update Date
2013-08-30
Business Address
-- PAUL RICKY ENA IDC
BLDG 13129, 14 TH ST
CAMP PENDLETON, CA 92055
Phone number: 760-725-2194
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Mailing Address
-- PAUL RICKY ENA IDC
NHCP BLDG H-100 SANTA MARGARITA RD
CAMP PENDLETON, CA 92055
Phone number: 760-763-6529
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