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1821051020
MARTY LYNN GOLIGHTLY
SAN DIEGO, CA
NPI
1821051020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
-- MARTY LYNN GOLIGHTLY IDC
35000 GUADALCANAL AVE
SAN DIEGO, CA 92140-5599
Phone number: 619-524-4043
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Mailing Address
-- MARTY LYNN GOLIGHTLY IDC
39037 VIA LAS SINTRAS
MURRIETA, CA 92562-4323
Phone number: 619-252-6131
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