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1790405389
CODY JAMES GILMARTIN
SAN DIEGO, CA
NPI
1790405389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2022-09-01
Last Update Date
2023-09-26
Business Address
CODY JAMES GILMARTIN IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
CODY JAMES GILMARTIN IDC
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Phone number: 228-822-5922
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