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Individual

GREGORY ALLEN DAVIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
US NAVAL HOSPITAL, PSC 475 AP, CA 96350
(045) 816-8735
Mailing address
US NAVAL HOSPITAL, PSC 475 AP, CA 96350

Taxonomy

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

Other

Enumeration date
03/15/2006
Last updated
07/08/2007
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