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1578103461
BENJAMIN ANDREW GALLENTINE
CANNON AFB, NM
NPI
1578103461
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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
2020-01-09
Last Update Date
2022-08-10
Business Address
BENJAMIN ANDREW GALLENTINE
224 W D.L. INGRAM BLVD
CANNON AFB, NM 88103
Phone number: 755-784-2778
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Mailing Address
BENJAMIN ANDREW GALLENTINE
224 W D.L. INGRAM BLVD
CANNON AFB, NM 88103
Phone number: 755-784-2778
Copy
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