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MICHAEL AYLESWORTH
Independent Duty Corpsman >> Military Health Care Provider >> Other Service ProvidersRegistrant NPI Number: 1831463025
Individual Registrant: MICHAEL AYLESWORTH
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
BUILDING 4130077 EAST MARSOC 1ST MARINE SPECIAL OPERATIONS BATTALION MEDICAL CAMP PENDLETON, CA 92055 US
Tel: 760-725-5298 Fax: --
Tel: 760-725-5298 Fax: --
Contact information for business:
BOX 555341 1ST MARINE SPECIAL OPERATIONS BATTALION MEDICAL CAMP PENDLETON, CA 92055 US
Tel: 760-725-5298 Fax: --
Tel: 760-725-5298 Fax: --
Registration Information:
NPI: 1831463025
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1710I1002X | Other Service Providers Military Health Care Provider Independent Duty Corpsman |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
