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1841552163
TIMOTHY J. KERR
PORT HUENEME, CA
NPI
1841552163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2012-06-12
Last Update Date
2012-06-12
Business Address
Mr. TIMOTHY J. KERR Dive IDC
4643 DOCK RD BLDG 524
PORT HUENEME, CA 93043-4321
Phone number: 805-982-6682
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Mailing Address
Mr. TIMOTHY J. KERR Dive IDC
4643 DOCK RD BLDG 524
PORT HUENEME, CA 93043-4321
Phone number: 805-982-6682
Copy
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