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Individual

MR. DAVID MORALES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SFIDC

Contact information

Practice address
2480 BON HOMMES RICHARD ST, NAVAL STATION MAYPORT, JACKSONVILLE, FL 32228-0046
(904) 270-3836
Mailing address
PO BOX 280046, NAVAL STATION MAYPORT, JACKSONVILLE, FL 32228-0046
(904) 270-3836

Taxonomy

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

Other

Enumeration date
07/25/2016
Last updated
10/13/2016
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