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1669250973
BENJAMIN WILLIS ROZEBOOM
SAN DIEGO, CA
NPI
1669250973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
BENJAMIN WILLIS ROZEBOOM IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
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Mailing Address
BENJAMIN WILLIS ROZEBOOM IDC
9 COOSAWHATCHIE WAY
BEAUFORT, SC 29906-6039
Phone number: 910-381-5881
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