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Individual

CHRISTOPHER WAYNE SWINNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
3401 FARENHOLT AVE, SAN DIEGO, CA 92134-0001
(518) 490-1718
(518) 490-1718
Mailing address
COMLOGWESTPAC MAS, 477-1 DURBAN ROAD, SINGAPORE, SINGAPORE 75964-1

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
04/18/2011
Last updated
03/17/2018
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