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1164657250
DANIEL OPENSHAW
DYESS AFB, TX
NPI
1164657250
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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
2009-05-19
Last Update Date
2009-05-19
Business Address
DANIEL OPENSHAW IDMT
697 LOUISIANA DR
DYESS AFB, TX 79607-1367
Phone number: 325-696-5490
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Mailing Address
DANIEL OPENSHAW IDMT
697 LOUISIANA DR
DYESS AFB, TX 79607-1367
Phone number: 325-696-5490
Copy
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