Individual
PAUL PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2D RECON BN 2D MARDIV, CLNC, NC 28544
(910) 450-7719
Mailing address
127 SOUTH ROCK CR DR, JACKSONVILLE, NC 28540
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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