NPI Details | |
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NPI | 1033196480 |
Enumeration Date | 12/28/2005 |
Last Updated | 02/28/2014 |
Entity Type | Healthcare Provider |
Active | Over 12 years ago |
Authorized Information | |
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Name | THERESA MARIE THERESA |
Position | AIR FORCE UBO ANALYST |
Phone | (660) 687-1838 |
Fax | (660) 687-5121 |
Practice Location | |
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331 SIJAN AVE 509 MDSS SGSR WHITEMAN AFB MO, 65305-1269, US |
|
Phone | (660) 687-1838 |
Fax | (660) 687-5121 |
Business Location | |
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331 SIJAN AVE 509 MDSS SGSR WHITEMAN AFB MO, 65305-1269, US |
|
Phone | (660) 687-1838 |
Fax | (660) 687-5121 |
Toxanomy | |
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Taxonomy Code | 261QM1101X |
License State | |
License Number | |
Remove 1033196480 NPI Number |
According to our database, 509th Medical Group-sgsr NPI is 1033196480, taxonomy code is 261QM1101X 509th Medical Group-sgsr physically located at 331 Sijan Ave, Whiteman Afb MO, 65305-1269. NPI Number 1033115704 has the healthcare provider type.
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1033196480 NPI number is provided on an as is basis without warranty of any kind. 1033196480 is maintained by the National Plan & Provider Enumeration System. The contents of 509th Medical Group-sgsr are for informational purposes only.
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