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Individual

BRETT JOSEPH CUMMINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
USS GONZALEZ (DDG 66), NORFOLK, VA 09570-2184
(757) 445-6269
Mailing address
924 LEE SHORE CT, CHESAPEAKE, VA 23320-0702

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1710I1002X
INDEPENDENT DUTY CORPSMAN
VA
Enumeration date
05/18/2007
Last updated
07/08/2007
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