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1780838524
ANTHONY SHATTUCK
CAMP LEJEUNE, NC
NPI
1780838524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2008-11-06
Last Update Date
2008-11-06
Business Address
-- ANTHONY SHATTUCK SOIDC
2D MARINE SPECIAL OPERATIONS BATTALION PSC 20183
CAMP LEJEUNE, NC 28542
Phone number: 910-450-7704
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Mailing Address
-- ANTHONY SHATTUCK SOIDC
2D MARINE SPECIAL OPERATIONS BATTALION PSC BOX 20183
CAMP LEJEUNE, NC 28542
Phone number: 910-450-7704
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