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1972565463
MICHAEL TODD SHULL
KINGS BAY, GA
NPI
1972565463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-04-03
Last Update Date
2007-07-08
Business Address
-- MICHAEL TODD SHULL IDC
881 USS JAMES MADISON RD
KINGS BAY, GA 31547-2531
Phone number: 912-573-2410
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Mailing Address
-- MICHAEL TODD SHULL IDC
108 HONEYSUCKLE RD
KINGSLAND, GA 31548-6486
Phone number: 912-576-8169
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