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1518101245
DANE A. LOOMAN
MOUNTAIN HOME A F B, ID
NPI
1518101245
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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
2009-04-24
Last Update Date
2009-04-24
Business Address
-- DANE A. LOOMAN IDMT
84 BOMBER RD 726 ACS/SG
MOUNTAIN HOME A F B, ID 83648-5272
Phone number: 208-828-3604
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Mailing Address
-- DANE A. LOOMAN IDMT
84 BOMBER RD 726 ACS/SG
MOUNTAIN HOME A F B, ID 83648-5272
Phone number: 208-828-3604
Copy
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