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1790020626
RYAN THOMAS CAMPBELL
SAN DIEGO, CA
NPI
1790020626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2012-12-04
Last Update Date
2012-12-04
Business Address
Mr. RYAN THOMAS CAMPBELL IDC
34101 FARENHOLT AVE BUILDING 14
SAN DIEGO, CA 92134-5291
Phone number: 818-434-8387
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Mailing Address
Mr. RYAN THOMAS CAMPBELL IDC
34101 FARENHOLT AVE BULIDING 14
SAN DIEGO, CA 92134-5291
Phone number: 818-434-8387
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