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1780818229
LUIS HERNANDEZ
WHITEMAN AFB, MO
NPI
1780818229
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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
2009-05-13
Last Update Date
2015-07-22
Business Address
-- LUIS HERNANDEZ IDMT
331 SIJEN AVE
WHITEMAN AFB, MO 65305-1269
Phone number: 660-687-4310
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Mailing Address
-- LUIS HERNANDEZ IDMT
331 SIJEN AVE
WHITEMAN AFB, MO 65305-1269
Phone number: 660-687-4310
Copy
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