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1992061238
JOHN FRANCIS TALAVERA CORTEZA
SAN DIEGO, CA
NPI
1992061238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2012-04-11
Last Update Date
2013-09-05
Business Address
JOHN FRANCIS TALAVERA CORTEZA IDC
3325 SENN RD RM 153
SAN DIEGO, CA 92136-5029
Phone number: 619-556-3145
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Mailing Address
JOHN FRANCIS TALAVERA CORTEZA IDC
3325 SENN RD RM 153
SAN DIEGO, CA 92136-5029
Phone number: 619-556-3145
Copy
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