JAMES ANDREW JACK

HURLBURT FIELD, FL
NPI1104060607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-04-28
Last Update Date2012-01-06
Business Address
-- JAMES ANDREW JACK IDMT
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544-5604
Phone number: 850-881-2337
Mailing Address
-- JAMES ANDREW JACK IDMT
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544-5613
Phone number: 850-884-1100
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