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1205110368
BRIAN RUSSELL BALCOLM
MCCONNELL AFB, KS
NPI
1205110368
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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
2011-10-06
Last Update Date
2023-07-10
Business Address
BRIAN RUSSELL BALCOLM IDMT
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221-3505
Phone number: 316-759-6300
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Mailing Address
BRIAN RUSSELL BALCOLM IDMT
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221-3505
Phone number: 316-759-3600
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