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1154556041
EDUARDO F CLEMENTE
MOODY A F B, GA
NPI
1154556041
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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
2009-05-20
Last Update Date
2012-12-07
Business Address
-- EDUARDO F CLEMENTE IDMT
3278 MITCHELL BLVD
MOODY A F B, GA 31699-1500
Phone number: 229-257-5188
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Mailing Address
-- EDUARDO F CLEMENTE IDMT
3807 SEDGEFIELD DR
VALDOSTA, GA 31605-6440
Phone number:
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