JOHNATHAN ANDREW BOSWELL

CAMP LEJEUNE, NC
NPI1871863696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2012-01-10
Last Update Date2022-07-01
Business Address
JOHNATHAN ANDREW BOSWELL IDC
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 910-382-2169
Mailing Address
JOHNATHAN ANDREW BOSWELL IDC
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 910-382-2169
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