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1093411902
RYAN M BELLACK
TRAVIS AFB, CA
NPI
1093411902
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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
2023-02-02
Last Update Date
2023-02-02
Business Address
RYAN M BELLACK IDMT
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3000
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Mailing Address
RYAN M BELLACK IDMT
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 757-754-3477
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