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1851073076
BOBBY ALAN WHITED
SAN DIEGO, CA
NPI
1851073076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
BOBBY ALAN WHITED IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 205-757-2390
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Mailing Address
BOBBY ALAN WHITED IDC
3555 FLORIDA ST UNIT H
SAN DIEGO, CA 92104-8203
Phone number: 205-757-2390
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