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Organization
UNDERWATER CONSTRUCTION TEAM TWO
Active
Organization
UNDERWATER CONSTRUCTION TEAM TWO
Active
Other names
US Navy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J KERR DIVE IDC (HOSPITAL CORPSMAN IDC)
(805) 982-6682
Entity
Organization
Contact information
Practice address
4643 DOCK ROAD BLDG 524, UNDERWATER CONSTRUCTION TEAM TWO, PORT HUENEME, CA 93043
(805) 982-6682
(805) 982-3246
Mailing address
4643 DOCK ROAD BLDG 524, UNDERWATER CONSTRUCTION TEAM TWO, PORT HUENEME, CA 93043
(805) 982-6682
(805) 982-3246
Taxonomy
Speciality
Code
Description
License number
State
3418M1110X
Military or U.S. Coast Guard Ground Transport Ambulance
Primary
—
NULL
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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