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1972893048
HEATH HARBISON
CAMP LEJEUNE, NC
NPI
1972893048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2011-04-11
Last Update Date
2011-04-11
Business Address
-- HEATH HARBISON
1211 LOUIS STREET
CAMP LEJEUNE, NC 28547
Phone number: 910-449-9965
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Mailing Address
-- HEATH HARBISON
PSC BOX 20073
CAMP LEJEUNE, NC 28542-0073
Phone number:
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