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1659873305
JOHN MICHAEL CONNELLY
SAN DIEGO, CA
NPI
1659873305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2018-03-07
Last Update Date
2018-03-07
Business Address
JOHN MICHAEL CONNELLY IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 717-856-1894
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Mailing Address
JOHN MICHAEL CONNELLY IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 717-856-1894
Copy
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