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Individual

MR. JOSHUA WILLIAM ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SFIDC

Contact information

Practice address
NAVAL AMBULATORY CARE CLINIC, 162 1ST STREET BUILDING 1402, PORT HUENEME, CA 93043-0001
(805) 982-6419
Mailing address
401 W. VINEYARD AVE APT 306, OXNARD, CA 93036
(805) 824-9369

Taxonomy

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

Other

Enumeration date
05/24/2007
Last updated
07/08/2007
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