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1639729106
MICHAEL C ETHEREDGE
LANGLEY AFB, VA
NPI
1639729106
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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
2019-09-17
Last Update Date
2019-09-17
Business Address
Mr. MICHAEL C ETHEREDGE IDMT
77 NEALY AVE
LANGLEY AFB, VA 23665-2040
Phone number: 757-764-6800
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Mailing Address
Mr. MICHAEL C ETHEREDGE IDMT
77 NEALY AVE
LANGLEY AFB, VA 23665-2040
Phone number:
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