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Individual

MR. ALEC JAMES CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
455 HORNET AVE STE 101, JBPHH, HI 96860-3530
(619) 537-4355
Mailing address
USS TYPHOON PC 5, UNIT 100286 BOX 1, FPO, AE 09588

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
CARLAJ138NJ
WA

Other

Enumeration date
05/10/2017
Last updated
08/31/2021
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