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1942998190
JACOB TESTA
CAMP LEJEUNE, NC
NPI
1942998190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
JACOB TESTA IDC
A66 BOAT BASIN RD
CAMP LEJEUNE, NC 28545
Phone number: 910-440-7925
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Mailing Address
JACOB TESTA IDC
A66 BOAT BASIN RD
CAMP LEJEUNE, NC 28545
Phone number:
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