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Individual

WELDON W WELLINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
SURFACE WARFARE MEDICAL INSTITUTE, 34101 FARENHOLT AVENUE, BUILDING 14, SAN DIEGO, CA 92134-5291
(619) 532-6195
Mailing address
PSC 475 BOX 1785, FPO, AP 96350-1700

Taxonomy

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

Other

Enumeration date
12/26/2013
Last updated
12/26/2013
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