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1710451398
COREY JEVON BUCHANAN
SAN DIEGO, CA
NPI
1710451398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2019-01-16
Last Update Date
2019-01-16
Business Address
COREY JEVON BUCHANAN
NAVAL MEDICAL CENTER BALBOA 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134-0001
Phone number: 619-640-0155
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Mailing Address
COREY JEVON BUCHANAN
3535 MONROE AVE UNIT 30
SAN DIEGO, CA 92116-3590
Phone number: 361-720-5257
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