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Organization
US NAVY
Active
Organization
US NAVY
Active
Other names
2nd Marine Raider BN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB WAYNE AKINS SOIDC (IDC)
(903) 821-0599
Entity
Organization
Contact information
Practice address
CAMP LEIJUNE, JACKSONVILL, NC 28460
(910) 440-4460
Mailing address
2551 OLD DORCHESTER RD, SHERMAN, TX 75092-7022
Taxonomy
Speciality
Code
Description
License number
State
261QM1102X
Military Outpatient Operational (Transportable) Component Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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