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1871047639
ANDREW DAVIDSON
SAN DIEGO, CA
NPI
1871047639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: TX 23588888)
Enumeration Date
2016-08-10
Last Update Date
2016-11-22
Business Address
-- ANDREW DAVIDSON
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-9213
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Mailing Address
-- ANDREW DAVIDSON
7000 HAMLET AVE
BALTIMORE, MD 21234-7408
Phone number: 410-444-0935
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