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Individual

KARLIE DOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IDC

Contact information

Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
(907) 315-9910
Mailing address
855 BEECH ST APT 310, SAN DIEGO, CA 92101-2888
(907) 315-9910

Taxonomy

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

Other

Enumeration date
01/25/2024
Last updated
01/25/2024
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