LON PHILLIP CHANEY

SAN DIEGO, CA
NPI1912342536
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-05-09
Last Update Date2013-05-09
Business Address
-- LON PHILLIP CHANEY IDC
2626 SHOUP DR
SAN DIEGO, CA 92110-4268
Phone number: 757-641-3994
Mailing Address
-- LON PHILLIP CHANEY IDC
2626 SHOUP DR
SAN DIEGO, CA 92110-4268
Phone number: 757-641-3994
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