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1649530924
SHELLEY CARTER
MOUNTAIN HOME AFB, ID
NPI
1649530924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2012-05-21
Last Update Date
2022-05-16
Business Address
Mrs. SHELLEY CARTER
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7401
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Mailing Address
Mrs. SHELLEY CARTER
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648-1057
Phone number:
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