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1164992491
MICHAEL THOMAS STEVENS
FAIRCHILD AFB, WA
NPI
1164992491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
MICHAEL THOMAS STEVENS
100 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Phone number: 509-247-5661
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Mailing Address
MICHAEL THOMAS STEVENS
100 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Phone number:
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