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1790835742
FELIZARDO BACARO TRIA
TWENTYNINE PALMS, CA
NPI
1790835742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Mr. FELIZARDO BACARO TRIA IDC
1145 STURGIS STREET NAVAL HOSPITAL
TWENTYNINE PALMS, CA 92278-8250
Phone number: 760-830-2621
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Mailing Address
Mr. FELIZARDO BACARO TRIA IDC
2987 MAKAHA WAY
SAN DIEGO, CA 92154-1557
Phone number:
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