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1114161999
JOHN WAYNE RISTER
LACKLAND A F B, TX
NPI
1114161999
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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
2009-04-24
Last Update Date
2011-03-07
Business Address
Mr. JOHN WAYNE RISTER IDMT
1220 TRUEMPER ST BLDG 9225, SUITE 1, ROOM 323
LACKLAND A F B, TX 78236-5568
Phone number: 210-671-8317
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Mailing Address
Mr. JOHN WAYNE RISTER IDMT
1220 TRUEMPER ST BLDG 9225, SUITE 1, ROOM 323
LACKLAND A F B, TX 78236-5568
Phone number: 210-671-8317
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