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1679703060
PAUL M MONTGOMERY
FAIRCHILD AFB, WA
NPI
1679703060
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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
2009-07-20
Last Update Date
2009-07-20
Business Address
-- PAUL M MONTGOMERY IDMT
2504 S CHICAGO ST
FAIRCHILD AFB, WA 99011-8548
Phone number: 509-247-5414
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Mailing Address
-- PAUL M MONTGOMERY IDMT
274 N WATSON RD
CALEDONIA, MS 39740-9573
Phone number: 662-435-0279
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