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1386976041
SAMUEL DAVID FARRIS
FAIRCHILD AFB, WA
NPI
1386976041
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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
2010-02-05
Last Update Date
2010-04-26
Business Address
MR. SAMUEL DAVID FARRIS IDMT
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011-8704
Phone number: 509-247-5755
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Mailing Address
MR. SAMUEL DAVID FARRIS IDMT
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011-8704
Phone number: 509-247-5755
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