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Individual

MR. MICHAEL FRANCIS MCCUNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
34101 FARENHOLT AVE.IDC SUITE, SAN DIEGO, CA 92134-7000
(619) 532-5098
Mailing address
556 MARSH HARBOR DR, SAN DIEGO, CA 92154-8503
(619) 532-5398

Taxonomy

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

Other

Enumeration date
05/07/2007
Last updated
07/08/2007
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