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1003507377
PHILLIP JACOB TREXEL
JBSA LACKLAND, TX
NPI
1003507377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-17
Last Update Date
2023-05-17
Business Address
PHILLIP JACOB TREXEL
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-5972
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Mailing Address
PHILLIP JACOB TREXEL
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236-5638
Phone number:
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