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1730691148
BRYCE FERLAND
FAIRCHILD AFB, WA
NPI
1730691148
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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
2017-10-26
Last Update Date
2017-10-26
Business Address
BRYCE FERLAND IDMT
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011-8704
Phone number: 916-300-1682
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Mailing Address
BRYCE FERLAND IDMT
1120 5TH ST
MANHATTAN BEACH, CA 90266-6004
Phone number:
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