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Individual

MR. PHILLIP NAFUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
INDEPEDENT DUTY CORP

Contact information

Practice address
3685 CUMMINGS RD, SAN DIEGO, CA 92136-0001
(619) 556-0662
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 556-0662

Taxonomy

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

Other

Enumeration date
02/18/2014
Last updated
12/02/2014
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