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Individual

JOHN THOMAS RENN

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
250 MAKALAPA DR, PEARL HARBOR, HI 96860-3131
(808) 474-5428
(808) 474-7806
Mailing address
1015 AOLOA PL, APT 420, KAILUA, HI 96734-5226
(808) 386-7540
(808) 474-7806

Taxonomy

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

Other

Enumeration date
04/19/2006
Last updated
07/08/2007
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