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Individual

RUDY CONTRERAS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1ST MARDIV, BOX 555380, CAMP PENDLETON, CA 92055
(760) 725-5736
Mailing address
1ST MARDIV, BOX 555380, CAMP PENDLETON, CA 92055
(760) 725-5736

Taxonomy

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

Other

Enumeration date
01/28/2013
Last updated
01/28/2013
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