OMAR ANIBAL DECASTRO-SOSA

FPO, AA
NPI1649545542
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2012-03-12
Last Update Date2012-03-12
Business Address
-- OMAR ANIBAL DECASTRO-SOSA IDC
NMCB ONE UNIT 60251
FPO, AA 34099
Phone number: 228-871-2612
Mailing Address
-- OMAR ANIBAL DECASTRO-SOSA IDC
174 KELLY CIR
SANFORD, FL 32773
Phone number: 580-917-7349
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