Individual
JEAN MARC DUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
SPECIAL BOAT TEAM TWENTY TWO, 2603 LOWER GAINESVILLE ROAD, STENNIS SPACE CENTER, MS 39529-0001
(228) 813-4000
(228) 813-4021
Mailing address
SPECIAL BOAT TEAM TWENTY TWO, 2603 LOWER GAINESVILLE ROAD, STENNIS SPACE CENTER, MS 39529-0001
(228) 813-4000
(228) 813-4021
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
04/24/2009
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