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Individual

MR. ANDREW OWEN WARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SOIDC

Contact information

Practice address
1ST MARINE SPECIAL OPERATIONS BN., MEDICAL BOX 555341, CAMP PENDLETON, CA 92055-5341
(760) 725-6596
Mailing address
1ST MARINE SPECIAL OPERATIONS BN., MEDICAL BOX 555341, CAMP PENDLETON, CA 92055-5341
(760) 725-6596

Taxonomy

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

Other

Enumeration date
12/08/2010
Last updated
12/08/2010
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