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Individual

CHRIS BLANE CASSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MILITARY IDC

Contact information

Practice address
PSC BOX 20138, CAMP LEJEUNE, NC 28542-0138
(910) 450-7719
Mailing address
213 OAK GROVE CIR, HUBERT, NC 28539-3435
(910) 450-7719

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
ATP03016789CC
NC

Other

Enumeration date
06/01/2007
Last updated
07/08/2007
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