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1962276436
AUSTIN DEAN NIELSEN
SAN DIEGO, CA
NPI
1962276436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-11-14
Last Update Date
2023-11-14
Business Address
AUSTIN DEAN NIELSEN
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
AUSTIN DEAN NIELSEN
9687 W CANYON TER UNIT 2
SAN DIEGO, CA 92123-4683
Phone number: 850-217-3048
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