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Individual

CIARAN LAMBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
34101 FARENHOLT AVE # 14, SAN DIEGO, CA 92134-7000
(760) 725-2142
Mailing address
28188 MOULTON PKWY APT 911, LAGUNA NIGUEL, CA 92677-7512

Taxonomy

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

Other

Enumeration date
08/26/2019
Last updated
08/26/2019
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