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Individual

JEREMY DANIEL MORGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
5051 CALLE ARQUERO, OCEANSIDE, CA 92057-2738
(951) 378-0678
Mailing address
5051 CALLE ARQUERO, OCEANSIDE, CA 92057-2738
(951) 378-0678

Taxonomy

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

Other

Enumeration date
05/08/2013
Last updated
05/08/2013
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