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1104060003
VENUS VENICIA BOCK
CIBOLO, TX
NPI
1104060003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2009-04-23
Last Update Date
2021-11-04
Business Address
VENUS VENICIA BOCK IDMT
133 CANYON VIS
CIBOLO, TX 78108-3373
Phone number: 719-331-9600
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Mailing Address
VENUS VENICIA BOCK IDMT
1100 WIFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Phone number: 210-808-5407
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