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1902993967
JOHN THOMAS DIEM
HONOLULU, HI
NPI
1902993967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-10-09
Last Update Date
2007-07-08
Business Address
Mr. JOHN THOMAS DIEM IDC
2275 DORIS MILLER LOOP APT C
HONOLULU, HI 96818-3688
Phone number: 808-864-3391
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Mailing Address
Mr. JOHN THOMAS DIEM IDC
2275 DORIS MILLER LOOP APT C
HONOLULU, HI 96818-3688
Phone number: 808-864-3391
Copy
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