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1962054072
ADAM M OSTRANDER
SAN DIEGO, CA
NPI
1962054072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
Mr. ADAM M OSTRANDER IDC
8309 KRENZ ST
SAN DIEGO, CA 92123-2022
Phone number: 619-858-1426
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Mailing Address
Mr. ADAM M OSTRANDER IDC
8309 KRENZ ST
SAN DIEGO, CA 92123-2022
Phone number:
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