TODD ALBERT BURKHOLDER

FPO, AP
NPI1780936690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2012-10-03
Last Update Date2012-10-03
Business Address
TODD ALBERT BURKHOLDER IDC
USS PREBLE DDG-88
FPO, AP 96675-1303
Phone number: 619-556-4610
Mailing Address
TODD ALBERT BURKHOLDER IDC
2434 FOGG ST
SAN DIEGO, CA 92109-4853
Phone number: 619-988-2167
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