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1033452206
JASON ANTHONY EVANS
CANNON AFB, NM
NPI
1033452206
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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
2013-04-05
Last Update Date
2024-03-22
Business Address
Mr. JASON ANTHONY EVANS IDMT
224 W D. L. INGRAM AVENUE BLDG. 1408
CANNON AFB, NM 88101
Phone number: 310-686-2656
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Mailing Address
Mr. JASON ANTHONY EVANS IDMT
8808 CLOVIS CT APT A
CLOVIS, NM 88101-8593
Phone number: 310-686-2656
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