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CORY BARROW NAVY IDC

Independent Duty Corpsman >> Military Health Care Provider >> Other Service Providers

Registrant NPI Number: 1932516473

Individual Registrant:
 CORY  BARROW NAVY IDC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
200 MERCY COURT  CAMP PENDLETON SOUTH, CA 92055 US
Tel: 909-224-1056  Fax: --

Contact information for business:
2846 FALVY AVE  SAN DIEGO, CA 92111-5811 US
Tel: 909-224-1056  Fax: --

Registration Information:
NPI: 1932516473
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1710I1002XOther Service Providers
Military Health Care Provider
Independent Duty Corpsman
CAB-300-0019

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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