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Organization

UNITED STATES NAVY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHELSEA LAUREN MCLEAN PA-C, M.H.S (PHYSICIAN ASSISTANT)
(434) 960-2638
Entity
Organization

Contact information

Practice address
BLDG 14137, CAMP PENDLETON, CA 92055-5697
(760) 763-4028
Mailing address
PO BOX 555697, COMBAT LOGISTICS BATTALION 11, CAMP PENDLETON, CA 92055-5697
(760) 763-4028

Taxonomy

Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
1096852
PA

Other

Enumeration date
10/02/2012
Last updated
10/02/2012
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