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1013256536
MATTHEW PHILIP SCULLY
WRIGHT PATTERSON AFB, OH
NPI
1013256536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2013-02-04
Last Update Date
2013-02-04
Business Address
-- MATTHEW PHILIP SCULLY IDMT
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433-5529
Phone number: 616-717-0169
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Mailing Address
-- MATTHEW PHILIP SCULLY IDMT
4061 CLOUD PARK DR APRT B-2
HUBER HEIGHTS, OH 45424-8084
Phone number: 616-717-0169
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