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Individual

JASON ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
MSOAG AID STATION, BLDG 1211, CAMP LEJEUNE, NC 28547
(910) 449-9965
Mailing address
MSOAG AID STATION, BLDG 1211, CAMP LEJEUNE, NC 28547

Taxonomy

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

Other

Enumeration date
10/16/2008
Last updated
10/16/2008
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