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1871903476
GILBERT ROMAN
SAN DIEGO, CA
NPI
1871903476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: CA B8031502)
Enumeration Date
2014-05-05
Last Update Date
2014-05-05
Business Address
-- GILBERT ROMAN IDC
USS VANDEGRIFT FFG 48 NAVAL STATION 32ND ST
SAN DIEGO, CA 92136-2007
Phone number: 619-556-4740
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Mailing Address
-- GILBERT ROMAN IDC
3355 JORDAN PL
SAN DIEGO, CA 92123-2007
Phone number: 619-818-5743
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