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Individual

MR. OLIVER COLOMBINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 BREWSTER BLVD, HADNOT CLINIC, CAMP LEJEUNE, NC 28547
(910) 449-8865
Mailing address
NAVAL MEDICAL CENTER CAMP LEJEUNE, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547
(910) 449-8865

Taxonomy

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

Other

Enumeration date
10/18/2019
Last updated
08/05/2025
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