Individual
MR. GARY KEN LIMBAUGH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, CSCS
Contact information
Practice address
G544 C STREET, CAMP OLEJEUNE, NC 28542
(910) 449-0494
Mailing address
SOI-E P.O. BOX 20161, CAMP LEJEUNE, NC 28542
(910) 449-0494
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
2222
NC
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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