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1174225148
GALEN GIST
JBSA FT SAM HOUSTON, TX
NPI
1174225148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Additional Taxonomies
171000000X Military Health Care Provider
Enumeration Date
2023-03-21
Last Update Date
2023-08-10
Business Address
GALEN GIST MD
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-0439
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Mailing Address
GALEN GIST MD
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number:
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