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1740986967
JONATHAN SPEARS
SAN DIEGO, CA
NPI
1740986967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-01-31
Last Update Date
2023-01-31
Business Address
JONATHAN SPEARS
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 202-909-6791
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Mailing Address
JONATHAN SPEARS
3532 MEADE AVE APT 38
SAN DIEGO, CA 92116-3508
Phone number: 202-909-6791
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