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1992316541
MICHAEL TREY WIX
SAN DIEGO, CA
NPI
1992316541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-08-16
Last Update Date
2020-08-16
Business Address
MICHAEL TREY WIX IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
MICHAEL TREY WIX IDC
2315 VIA FRANCISCA APT K
CARLSBAD, CA 92008-6817
Phone number:
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