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1871560284
ALLEN JAMES LAHEIST
SAN DIEGO, CA
NPI
1871560284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-03-03
Last Update Date
2007-07-08
Business Address
Mr. ALLEN JAMES LAHEIST idc
140 SYLVESTER RD
SAN DIEGO, CA 92106-3521
Phone number: 619-553-0838
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Mailing Address
Mr. ALLEN JAMES LAHEIST idc
39837 WESTERN JAY WAY
MURRIETA, CA 92562-4668
Phone number: 619-553-0838
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