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1417188137
GEORGE JAMES ANTOLICK
CHARLESTON AFB, SC
NPI
1417188137
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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
2009-07-29
Last Update Date
2009-07-29
Business Address
Mr. GEORGE JAMES ANTOLICK IDMT
204 W HILL BLVD
CHARLESTON AFB, SC 29404-4704
Phone number: 843-963-6743
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Mailing Address
Mr. GEORGE JAMES ANTOLICK IDMT
115 HOUSTON DR
LADSON, SC 29456-6257
Phone number:
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