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1851917165
KATELYN RENEE WATSON
FAIRFIELD, CA
NPI
1851917165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2020-06-23
Last Update Date
2020-06-23
Business Address
KATELYN RENEE WATSON IDMT
101 BODIN DRIVE BLDG 777
FAIRFIELD, CA 95688
Phone number: 970-580-1391
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Mailing Address
KATELYN RENEE WATSON IDMT
101 BODIN DRIVE BLDG 777
FAIRFIELD, CA 95688
Phone number: 707-423-3825
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