DEREK LEE GOODING

FPO, AP
NPI1821453911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2015-12-16
Last Update Date2015-12-16
Business Address
Mr. DEREK LEE GOODING IDC
PSC 482 BOX 2738
FPO, AP 96362-2799
Phone number: 804-869-7017
Mailing Address
Mr. DEREK LEE GOODING IDC
PSC 482 BOX 2738
FPO, AP 96362-2799
Phone number: 804-869-7017
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