JULIAN KEITH LITTLE

MOUNTAIN HOME, ID
NPI1447480686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-07-22
Last Update Date2009-07-22
Business Address
Mr. JULIAN KEITH LITTLE
MOUNTAIN HOME AFB 90 HOPE DR. BLDG 6000/366 MED GP/AMDS/SGPF
MOUNTAIN HOME, ID 83648
Phone number: 208-828-7401
Mailing Address
Mr. JULIAN KEITH LITTLE
1285 OWYHEE CT
MOUNTAIN HOME, ID 83647-1925
Phone number: 208-590-4890
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