JAKE E DERTINGER

FORT BLISS, TX
NPI1326892472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-15
Last Update Date2024-04-15
Business Address
JAKE E DERTINGER
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number: 915-742-0576
Mailing Address
JAKE E DERTINGER
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number: 915-742-0576
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