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1659985695
ERIC LEE WOODWORTH
CAMP LEJEUNE, NC
NPI
1659985695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-09-08
Last Update Date
2020-09-08
Business Address
-- ERIC LEE WOODWORTH SOIDC
A66 BOAT BASIN ROAD
CAMP LEJEUNE, NC 28542
Phone number: 910-440-7714
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Mailing Address
-- ERIC LEE WOODWORTH SOIDC
120A JAMES AVE
HOLLY RIDGE, NC 28445-7037
Phone number: 714-474-7079
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