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1538205281
DEJUANA LYNETTE RIAT
APO, AP
NPI
1538205281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: 1038258)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
-- DEJUANA LYNETTE RIAT PA-C
D CO 168TH MED BN BOX 36-B CAMP WALKER
APO, AP 96218
Phone number: 1225-709-0691
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Mailing Address
-- DEJUANA LYNETTE RIAT PA-C
18TH MEDCOM ATTN DCCS-QM (CREDENTIALS)
APO, AP 96205
Phone number: 0118227-916-6027
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