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1982837621
JUSTIN GAROFOLO MANNICK
JACKSONVILLE, NC
NPI
1982837621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2009-08-28
Last Update Date
2009-08-28
Business Address
MR. JUSTIN GAROFOLO MANNICK IDC
614 GRAYSTONE AVE
JACKSONVILLE, NC 28540
Phone number: 910-581-0733
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Mailing Address
MR. JUSTIN GAROFOLO MANNICK IDC
302 VENETIAN BLVD
LINDENHURST, NY 11757-6307
Phone number: 910-581-0733
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