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1740803279
ISSA KHALIL
FPO, AE
NPI
1740803279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
ISSA KHALIL NAVY IDC
USS DONALD COOK
FPO, AE 09566
Phone number: 619-379-4026
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Mailing Address
ISSA KHALIL NAVY IDC
1803 TALMADGE DR UNIT 9
CHULA VISTA, CA 91915-2317
Phone number: 619-379-4026
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