Individual
MR. BRENDON EARL DUMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
RR612 EVERETT CREEK ROAD, CAMP LEJEUNE, NC 28542
(910) 440-1947
Mailing address
512 BLACKBERRY CT, HUBERT, NC 28539-4092
(808) 445-2984
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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