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1689873192
KEITH ROBERT DAVIS
SAN DIEGO, CA
NPI
1689873192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date
2007-07-13
Last Update Date
2007-07-13
Business Address
KEITH ROBERT DAVIS IDC
140 SYLVESTER RD USS TOPEKA (SSN 754) FPO AP 96679-2410
SAN DIEGO, CA 92106-3521
Phone number: 619-553-0123
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Mailing Address
KEITH ROBERT DAVIS IDC
140 SYLVESTER RD USS TOPEKA (SSN 754) FPO AP 96679-2410
SAN DIEGO, CA 92106-3521
Phone number: 619-553-0123
Copy
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