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1295212413
WALTER STEVEN AGUDELO
MAXWELL AFB, AL
NPI
1295212413
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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
2018-07-20
Last Update Date
2022-08-16
Business Address
WALTER STEVEN AGUDELO IDMT
300 TWINING ST BLDG 760
MAXWELL AFB, AL 36112-6027
Phone number: 334-963-9154
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Mailing Address
WALTER STEVEN AGUDELO IDMT
300 TWINING ST
MONTGOMERY, AL 36112-6027
Phone number: 334-953-9154
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