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1659612927
MICHAEL OTHELLO MATHIS
FPO, AE
NPI
1659612927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2865X1600X Military Hospital, Military General Acute Care Hospital. Operational (Transportable)
Enumeration Date
2013-03-11
Last Update Date
2013-03-11
Business Address
-- MICHAEL OTHELLO MATHIS Surface Force IDC
USS TRUXTUN DDG 103
FPO, AE 09588-1309
Phone number: 757-445-6164
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Mailing Address
-- MICHAEL OTHELLO MATHIS Surface Force IDC
USS TRUXTUN DDG 103
FPO, AE 09588-1309
Phone number:
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