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1942618830
MICHAEL WARDEN
SAN DIEGO, CA
NPI
1942618830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-07-24
Last Update Date
2019-11-20
Business Address
MICHAEL WARDEN IDC
3325 SENN RD
SAN DIEGO, CA 92136-5029
Phone number: 760-401-0661
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Mailing Address
MICHAEL WARDEN IDC
3325 SENN RD
SAN DIEGO, CA 92136-5029
Phone number: 760-401-0661
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