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Individual

MR. NATHAN A. MARSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5080
(757) 953-7552
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5080
(757) 953-7552

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
08/04/2006
Last updated
04/06/2017
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