Nathan Daniel Dejager, SURFACEIDC
Nathan Daniel Dejager, SURFACEIDC is an Independent Duty Corpsman in Gulfport, Mississippi. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
5501 Marvin Shields BlvdGulfport, MS 39501-9007
Phone: (228) 871-4737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1477819332 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SURFACEIDC |
| Sole proprietor | No |
| NPI enumerated | April 5, 2012 |
| Last updated in NPPES | April 5, 2012 |
| Mailing address | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 |
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