Individual
JOHN EDWARD BOHAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 AREA DEL MAR CLINIC, NHCP BOX 555191, CAMP PENDLETON, CA 92055
(760) 725-2142
Mailing address
266 DIAMANTE WAY, OCEANSIDE, CA 92056-3763
(760) 305-3296
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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