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1235539750
DFAS-JFLL/IN
BELLEVUE, NE
NPI
1235539750
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Entity Type
Organization
Authorized Contact
MARINA PUENTES
Physician Assistant
210-862-0632
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2014-09-03
Last Update Date
2014-09-03
Business Address
DFAS-JFLL/IN
4005 RAYNOR PKWY APT 3316
BELLEVUE, NE 68123-6110
Phone number: 210-862-0632
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Mailing Address
DFAS-JFLL/IN
4005 RAYNOR PKWY APT 3316
BELLEVUE, NE 68123-6110
Phone number: 210-862-0632
Copy
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