Individual
MR. ROBERT WILLIAM MAGNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, CAMP LEJEUNE, NC 28547-2538
(910) 451-6628
Mailing address
HM SMITH STREET, FC 308, FPO, AE 28542
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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