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1760569339
CLAIRALYN LOIS BAUCOM
APO, AP
NPI
1760569339
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Former Name
CLAIRALYN CATHERINE ELLIOTT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: VA 0101240222)
Enumeration Date
2006-11-01
Last Update Date
2008-09-11
Business Address
-- CLAIRALYN LOIS BAUCOM MD
KADENA PEDIATRIC CLINIC 18MDG / SGHQ UNIT 5142
APO, AP 96367-5142
Phone number: 315-630-4542
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Mailing Address
-- CLAIRALYN LOIS BAUCOM MD
18MDOS PSC 80 BOX 15477
APO, AP 96367-5142
Phone number: 315-630-4542
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