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1760616015
JOHN LA CRUZ
MCCONNELL AFB, KS
NPI
1760616015
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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
2009-05-14
Last Update Date
2009-05-14
Business Address
-- JOHN LA CRUZ IDMT
22 MDG
MCCONNELL AFB, KS 67221-3712
Phone number: 316-759-5116
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Mailing Address
-- JOHN LA CRUZ IDMT
22 MDG
MCCONNELL AFB, KS 67221-3712
Phone number: 316-759-5116
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