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1649404807
KEVIN LIONEL ST PATRICK MOORE
TRAVIS AFB, CA
NPI
1649404807
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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
2009-05-03
Last Update Date
2009-05-03
Business Address
Mr. KEVIN LIONEL ST PATRICK MOORE IDMT
101 BODIN CIR SGPF
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-7225
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Mailing Address
Mr. KEVIN LIONEL ST PATRICK MOORE IDMT
101 BODIN CIR SGPF
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-7225
Copy
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