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MICHAEL AYLESWORTH

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

Registrant NPI Number: 1831463025

Individual Registrant:
 MICHAEL  AYLESWORTH 
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: --

Contact information for business:
BOX 555341 1ST MARINE SPECIAL OPERATIONS BATTALION MEDICAL CAMP PENDLETON, CA 92055 US
Tel: 760-725-5298  Fax: --

Registration Information:
NPI: 1831463025
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1710I1002XOther Service Providers
Military Health Care Provider
Independent Duty Corpsman

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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