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1689985897
DATHAN J SPINNEY
MOUNTAIN HOME AFB, ID
NPI
1689985897
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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
2010-06-23
Last Update Date
2022-05-13
Business Address
DATHAN J SPINNEY IDMT
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7401
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Mailing Address
DATHAN J SPINNEY IDMT
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7401
Copy
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