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Individual

FRANCISJOSH MACASIEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
(858) 504-5532
Mailing address
11521 WINDCREST LN APT 62, SAN DIEGO, CA 92128-6459

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1471132680
MILITARY
Enumeration date
01/31/2023
Last updated
01/31/2023
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