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1669039798
COY DYLAN PARKER
SAN DIEGO, CA
NPI
1669039798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
COY DYLAN PARKER INDEPENDENT DUTY COR
SURFACE WARFARE MEDICAL INSTITUTE 34101 FARENHOLT AVE
SAN DIEGO, CA 92134
Phone number: 619-532-6659
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Mailing Address
COY DYLAN PARKER INDEPENDENT DUTY COR
11439 MADERA ROSA WAY
SAN DIEGO, CA 92124
Phone number: 949-295-8153
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