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1588922108
ZACHARY THOMAS FENNELL
FORT RUCKER, AL
NPI
1588922108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: TX B1918437)
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
MR. ZACHARY THOMAS FENNELL EMT BASIC
BUILDING 301, ANDREWS AVE. LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7341
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Mailing Address
MR. ZACHARY THOMAS FENNELL EMT BASIC
BUILDING 301, ANDREWS AVE. LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7341
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