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1841636313
GEORGE ALAN LADD
CAMP LEJEUNE, NC
NPI
1841636313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2013-05-10
Last Update Date
2013-05-10
Business Address
Mr. GEORGE ALAN LADD IDC
2D MARDIV PSC BOX 2088
CAMP LEJEUNE, NC 28542
Phone number: 910-451-2789
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Mailing Address
Mr. GEORGE ALAN LADD IDC
5320 FAN PALM AVE
COCOA, FL 32927-2004
Phone number: 305-491-3062
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