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1538479431
MICHAEL RYAN MUTERT
FPO, AE
NPI
1538479431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2010-10-14
Last Update Date
2010-10-14
Business Address
-- MICHAEL RYAN MUTERT IDC
PC CREW LIMA
FPO, AE 09501-1926
Phone number: 757-438-1736
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Mailing Address
-- MICHAEL RYAN MUTERT IDC
212 JOUSTER WAY
SUFFOLK, VA 23434-9132
Phone number: 757-438-1736
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