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1851461610
PAUL D LOOMIS
SAN DIEGO, CA
NPI
1851461610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
-- PAUL D LOOMIS IDC
NAVAL COASTAL WARFARE GROUP ONE NOLF IB 357140
SAN DIEGO, CA 92135
Phone number: 619-437-9856
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Mailing Address
-- PAUL D LOOMIS IDC
2013 CLEARWATER PL
CHULA VISTA, CA 91913-2461
Phone number:
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