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ANDREW AVERITT

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1356878698

Individual Registrant:
 ANDREW  AVERITT 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
200 MERCY CIRCLE NAVAL HOSPITAL CAMP PENDLETON BOX 555191 CAMP PENDLETON, CA 92055 US
Tel: 760-719-3675  Fax: --

Contact information for business:
200 MERCY CIRCLE NAVAL HOSPITAL CAMP PENDLETON BOX 555191 CAMP PENDLETON, CA 92055 US
Tel: 760-719-3675  Fax: --

Registration Information:
NPI: 1356878698
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program
CA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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