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1629108881
GABRIEL S TELLEZ
INGLESIDE, TX
NPI
1629108881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Mr. GABRIEL S TELLEZ IDC
1455 TICONDEROGA MCM CREW FEARLESS, COMCMRON 2, NAVAL STATION
INGLESIDE, TX 78362-5009
Phone number: 760-271-9722
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Mailing Address
Mr. GABRIEL S TELLEZ IDC
1626 S 31ST DR
YUMA, AZ 85364-5021
Phone number: 760-271-9723
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