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1861018178
JOHN C GALLIK
JBSA FORT SAM HOUSTON, TX
NPI
1861018178
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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
2020-06-23
Last Update Date
2020-06-23
Business Address
JOHN C GALLIK IDMT
3176 CORPORAL JOHNSON ROAD
JBSA FORT SAM HOUSTON, TX 33809
Phone number: 540-220-0056
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Mailing Address
JOHN C GALLIK IDMT
6858 ASHBURY DR
LAKELAND, FL 33809-7821
Phone number: 540-220-0056
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