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1871299099
CARLY HENNIGAR
SAN DIEGO, CA
NPI
1871299099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-01-31
Last Update Date
2023-01-31
Business Address
CARLY HENNIGAR
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 270-535-0391
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Mailing Address
CARLY HENNIGAR
825 E PALOMAR ST UNIT 2
CHULA VISTA, CA 91911-6992
Phone number: 270-535-0391
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