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1821508003
EDGAR OMAR GARCIA
CHULA VISTA, CA
NPI
1821508003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2017-10-02
Last Update Date
2017-10-02
Business Address
EDGAR OMAR GARCIA
454 E H ST APT 706
CHULA VISTA, CA 91910-7468
Phone number: 210-202-9604
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Mailing Address
EDGAR OMAR GARCIA
454 E H ST APT 706
CHULA VISTA, CA 91910-7468
Phone number: 210-202-9604
Copy
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