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1275390544
SAMUEL CARLON LIGHT
JBSA FT SAM HOUSTON, TX
NPI
1275390544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
SAMUEL CARLON LIGHT
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-292-3410
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Mailing Address
SAMUEL CARLON LIGHT
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-292-3410
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