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1225272073
LANDRU DEREK MEDVEC
EIELSON AFB, AK
NPI
1225272073
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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
2009-04-23
Last Update Date
2009-04-23
Business Address
-- LANDRU DEREK MEDVEC IDMT
2422 ARCTIC AVE APT D
EIELSON AFB, AK 99702
Phone number: 907-372-4458
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Mailing Address
-- LANDRU DEREK MEDVEC IDMT
2630 CENTRAL AVE SUITE 1M07
EIELSON AFB, AK 99702-2301
Phone number: 907-377-6526
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