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1568436962
325 MDG
TYNDALL AFB, FL
NPI
1568436962
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Entity Type
Organization
Authorized Contact
GEORGE NICHOLAS
325 Mdg Commander
850-283-7515
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: FL PY5848)
Enumeration Date
2006-02-14
Last Update Date
2008-06-13
Business Address
325 MDG
325 MDG BLDG 1305 SUWANNEE AVE
TYNDALL AFB, FL 32403
Phone number: 850-283-7511
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Mailing Address
325 MDG
2405 MAPLE CT
PANAMA CITY, FL 32404-3047
Phone number: 850-283-7511
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