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Individual

MR. TROY EBBINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
324 BOXWOOD ST N, OCEANSIDE, CA 92058-6626
(815) 721-4045
Mailing address
324 BOXWOOD ST N, OCEANSIDE, CA 92058-6626
(815) 721-4045

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/13/2022
Last updated
04/26/2023
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