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1164892949
DFAS-JFLL/IN
DAYTON, OH
NPI
1164892949
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Entity Type
Organization
Authorized Contact
ISAAC HUMPHREY
Supervisor
937-257-9926
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: IN 01073515A)
Enumeration Date
2015-10-06
Last Update Date
2015-10-06
Business Address
DFAS-JFLL/IN
4881 SUGAR MAPLE DR
DAYTON, OH 45433-5529
Phone number: 937-257-9926
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Mailing Address
DFAS-JFLL/IN
4881 SUGAR MAPLE DR
DAYTON, OH 45433-5529
Phone number:
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