CHARLES EDWARD HOLTZ

GRAND FORKS AFB, ND
NPI1104050657
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-05-13
Last Update Date2009-05-13
Business Address
-- CHARLES EDWARD HOLTZ IDMT
1599 J ST
GRAND FORKS AFB, ND 58205-6306
Phone number: 701-747-5504
Mailing Address
-- CHARLES EDWARD HOLTZ IDMT
2026 SPRUCE DR UNIT A
GRAND FORKS, ND 58204-1864
Phone number: 701-747-5504
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