TIMOTHY DOUGLAS BORK

FPO, AE
NPI1831385749
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-09-25
Last Update Date2008-09-16
Business Address
Mr. TIMOTHY DOUGLAS BORK IDC
PSC 836 BOX 512
FPO, AE 09636-0500
Phone number: 0113909-556-2854
Mailing Address
Mr. TIMOTHY DOUGLAS BORK IDC
PSC 836 BOX 512
FPO, AE 09636-0500
Phone number: 0113909-556-2854
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