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1922698679
MARK NOVAK
CAMP PENDLETON, CA
NPI
1922698679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2021-01-26
Last Update Date
2021-01-26
Business Address
MARK NOVAK SOIDC
1ST RECON BN BAS BLDG 4101 41 AREA
CAMP PENDLETON, CA 92055
Phone number: 224-343-3623
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Mailing Address
MARK NOVAK SOIDC
PO BOX 555584
CAMP PENDLETON, CA 92055-5584
Phone number:
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