DOUGLAS GLENN LEESE

SAN DIEGO, CA
NPI1790481919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2023-01-31
Last Update Date2023-01-31
Business Address
DOUGLAS GLENN LEESE
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 717-779-7975
Mailing Address
DOUGLAS GLENN LEESE
1878 TITUS ST
SAN DIEGO, CA 92110-2165
Phone number: 717-779-7975
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