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1700545597
NICOLAS ALLEN OERTLING
CAMP LEJEUNE, NC
NPI
1700545597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2021-12-09
Last Update Date
2021-12-09
Business Address
NICOLAS ALLEN OERTLING SOIDC
1ST MAR RDR BN MRR MARFORSOC
CAMP LEJEUNE, NC 28542
Phone number: 910-440-3944
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Mailing Address
NICOLAS ALLEN OERTLING SOIDC
PCS BOX 20184
CAMP LEJEUNE, NC 28542
Phone number: 910-440-3944
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