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1841539376
BRIAN C DESOTO
HURLBURT FIELD, FL
NPI
1841539376
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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
2013-02-04
Last Update Date
2013-02-04
Business Address
BRIAN C DESOTO
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544-5613
Phone number: 850-881-4595
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Mailing Address
BRIAN C DESOTO
34 BAKKE ST
HURLBURT FIELD, FL 32544-1046
Phone number: 850-226-3882
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