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Individual

MR. GIDEON ALLEN KAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
10651 E ST., NAVAL HEALTH CLINIC CORPUS CHRISTI, CORPUS CHRISTI, TX 78419
(619) 988-5246
Mailing address
8301 SALSA DR, CORPUS CHRISTI, TX 78414-6452
(619) 988-5246

Taxonomy

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

Other

Enumeration date
03/19/2007
Last updated
12/11/2012
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