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1386040913
DALLAS GREVE
FORT RUCKER, AL
NPI
1386040913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: TX E1428044)
Enumeration Date
2014-11-10
Last Update Date
2014-11-10
Business Address
DALLAS GREVE NREMT-E
BLDG 301, ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7835
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Mailing Address
DALLAS GREVE NREMT-E
BLDG 301, ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7835
Copy
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