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1831385749
TIMOTHY DOUGLAS BORK
FPO, AE
NPI
1831385749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-09-25
Last Update Date
2008-09-16
Business Address
Mr. TIMOTHY DOUGLAS BORK IDC
PSC 836 BOX 512
FPO, AE 09636-0500
Phone number: 0113909-556-2854
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Mailing Address
Mr. TIMOTHY DOUGLAS BORK IDC
PSC 836 BOX 512
FPO, AE 09636-0500
Phone number: 0113909-556-2854
Copy
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