RUBENS HENRIQUE DACOSTA

CAMP LEJEUNE, NC
NPI1841423886
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2009-08-25
Last Update Date2010-09-22
Business Address
Mr. RUBENS HENRIQUE DACOSTA SOIDC
2D MARINE SPECIAL OPERATIONS BATTALION PSC
CAMP LEJEUNE, NC 28542-0183
Phone number: 910-440-7704
Mailing Address
Mr. RUBENS HENRIQUE DACOSTA SOIDC
306 HEADWATERS DR
HAMPSTEAD, NC 28443-2085
Phone number: 910-546-3112
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