SALLY ROSEANNE DURANT

SAN DIEGO, CA
NPI1699061200
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-06-22
Last Update Date2011-06-22
Business Address
-- SALLY ROSEANNE DURANT
2051 CUSHING RD
SAN DIEGO, CA 92106-6173
Phone number: 817-217-9420
Mailing Address
-- SALLY ROSEANNE DURANT
2051 CUSHING RD
SAN DIEGO, CA 92106-6173
Phone number:
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