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1215638101
JESSE FERRELL
CANNON AFB, NM
NPI
1215638101
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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
2023-03-16
Last Update Date
2025-01-17
Business Address
JESSE FERRELL IDMT
224 W DL. INGRAM AVE BLDG 1408
CANNON AFB, NM 88101
Phone number: 575-784-8512
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Mailing Address
JESSE FERRELL IDMT
224 W D.L. INGRAM AVE BLDG 1408
CANNON AFB, NM 88103
Phone number: 575-784-8512
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