PAUL M MONTGOMERY

FAIRCHILD AFB, WA
NPI1679703060
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-07-20
Last Update Date2009-07-20
Business Address
-- PAUL M MONTGOMERY IDMT
2504 S CHICAGO ST
FAIRCHILD AFB, WA 99011-8548
Phone number: 509-247-5414
Mailing Address
-- PAUL M MONTGOMERY IDMT
274 N WATSON RD
CALEDONIA, MS 39740-9573
Phone number: 662-435-0279
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