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1316170491
JESSE A LOPEZ
ELMENDORF AFB, AK
NPI
1316170491
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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
2009-08-24
Last Update Date
2009-08-24
Business Address
-- JESSE A LOPEZ IDMT
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506-3702
Phone number: 907-580-1562
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Mailing Address
-- JESSE A LOPEZ IDMT
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506-3702
Phone number: 907-580-1562
Copy
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