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Individual

MR. JEFFREY SCOTT COSLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SFIDC

Contact information

Practice address
USS UNDERWOOD (FFG 36), MEDICAL DEPARTMENT, FPO AA, FL 34093-1491
(904) 270-5974
(904) 270-6531
Mailing address
1112 GALLANT FOX CIR N, JACKSONVILLE, FL 32218-1950
(858) 602-2900
(904) 270-6531

Taxonomy

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

Other

Enumeration date
09/26/2007
Last updated
09/26/2007
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