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1417480054
DANIEL POTTER
NELLIS AFB, NV
NPI
1417480054
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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
2017-04-11
Last Update Date
2017-04-11
Business Address
-- DANIEL POTTER IDMT
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 907-602-3280
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Mailing Address
-- DANIEL POTTER IDMT
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number:
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