ROBERT W GORMAN BALASCO

SAN DIEGO, CA
NPI1821189499
Former NameROBERT W GORMAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-09-27
Last Update Date2011-01-14
Business Address
-- ROBERT W GORMAN BALASCO IDC
NAVAL MEDICAL CTR 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134-5000
Phone number: 619-532-6666
Mailing Address
-- ROBERT W GORMAN BALASCO IDC
NAVAL MEDICAL CTR 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134-5000
Phone number: 619-532-6666
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