COLTON KEN DESSERT

JBSA LACKLAND, TX
NPI1750959110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2021-06-14
Last Update Date2021-06-14
Business Address
COLTON KEN DESSERT
2200 BERGQUIST DR STE 1
JBSA LACKLAND, TX 78236-9908
Phone number: 210-292-7412
Mailing Address
COLTON KEN DESSERT
9132 TRUEMPER STREET UNIT 9132
LACKLAND AFB, TX 78236
Phone number: 916-865-7567
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