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1891763371
JARED JAMES GOODROW
SAN DIEGO, CA
NPI
1891763371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-03-09
Last Update Date
2007-07-08
Business Address
-- JARED JAMES GOODROW Navy IDC
34101 FARENHOLT AVE NAVAL SCHOOL OF HEALTH SCIENCES
SAN DIEGO, CA 92134-5291
Phone number: 619-532-5744
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Mailing Address
-- JARED JAMES GOODROW Navy IDC
2962 WELLINGTON ST
SAN DIEGO, CA 92111-5740
Phone number: 619-200-3308
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