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1205558103
ANTHONY CHARLES FLETES
JBER, AK
NPI
1205558103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2022-09-16
Last Update Date
2022-09-16
Business Address
ANTHONY CHARLES FLETES IDMT
17455 AIRLIFTER DR
JBER, AK 99506-3902
Phone number: 907-551-1699
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Mailing Address
ANTHONY CHARLES FLETES IDMT
19387A MONASTERY DR
EAGLE RIVER, AK 99577-9269
Phone number: 817-343-2441
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