TERRY DWAYNE SHOULDERS

SAN DIEGO, CA
NPI1891949616
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2008-11-06
Last Update Date2008-11-06
Business Address
-- TERRY DWAYNE SHOULDERS IDC
3402 TARAWA RD. SPECIAL BOAT TEAM TWELVE MEDICAL DEPARTMENT
SAN DIEGO, CA 92155-5003
Phone number: 619-437-5540
Mailing Address
-- TERRY DWAYNE SHOULDERS IDC
3375 GREGORY ST
SAN DIEGO, CA 92104-4751
Phone number: 760-668-5569
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