SERGEOUS EVGENEY ANIKIN-DICK

CAMP LEJEUNE, NC
NPI1760967509
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2018-09-27
Last Update Date2018-09-27
Business Address
SERGEOUS EVGENEY ANIKIN-DICK
2D MARINE RAIDER BATTALION PSC 20183
CAMP LEJEUNE, NC 28542
Phone number: 910-440-7714
Mailing Address
SERGEOUS EVGENEY ANIKIN-DICK
181 PEYTONS RIDGE DR
HUBERT, NC 28539-3983
Phone number: 570-439-6591
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