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Individual

EZRA J HOWELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3D MARINE RAIDER BATTALION, CAMP LEJEUNE, NC 28542-0073
(910) 440-1947
Mailing address
3D MARINE RAIDER BATTALION, PSC BOX 20073, CAMP LEJEUNE, NC 28542-0073
(910) 440-1947

Taxonomy

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

Other

Enumeration date
01/10/2023
Last updated
01/10/2023
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