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1598806762
BRUCE WAYNE CALLAHAN
JBSA LACKLAND, TX
NPI
1598806762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110-001980)
Enumeration Date
2007-02-09
Last Update Date
2019-08-28
Business Address
Mr. BRUCE WAYNE CALLAHAN MPAS
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Phone number: 210-221-7487
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Mailing Address
Mr. BRUCE WAYNE CALLAHAN MPAS
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-221-7487
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