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1881390904
JUAN CARLOS GUTIERREZ
SAN DIEGO, CA
NPI
1881390904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-01-31
Last Update Date
2023-08-17
Business Address
JUAN CARLOS GUTIERREZ SFIDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 219-743-1730
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Mailing Address
JUAN CARLOS GUTIERREZ SFIDC
13127 14TH ST BUILDING 13127
CAMP PENDLETON, CA 92058
Phone number: 760-763-0306
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