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1770718587
QUINCY G. HALL
APO, AP
NPI
1770718587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1003X Military Health Care Provider Independent Duty Medical Technicians
(Licence: TX 1710I1003X)
Enumeration Date
2009-05-22
Last Update Date
2009-05-22
Business Address
QUINCY G. HALL IDMT
EGLIN AIR FORCE BASE 728TH ACS
APO, AP 32542
Phone number: 250-883-1221
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Mailing Address
QUINCY G. HALL IDMT
772 SHADT ST.
FORT WALTON BEACH, FL 32547
Phone number: 850-883-1221
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