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1972793909
BRETT STAIB
GREAT LAKES, IL
NPI
1972793909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
-- BRETT STAIB Navy IDC
3420 ILLINOIS ST BHC 1007
GREAT LAKES, IL 60088-3120
Phone number: 847-688-7536
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Mailing Address
-- BRETT STAIB Navy IDC
3420 ILLINOIS STREET
GREAT LAKES, IL 60088-5230
Phone number: 847-688-7536
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