CHESTER ALLEN WILDS

LACKLAND AFB, TX
NPI1881828432
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-05-12
Last Update Date2009-10-29
Business Address
-- CHESTER ALLEN WILDS IDMT
737 TRSS
LACKLAND AFB, TX 78236-5511
Phone number: 210-671-1658
Mailing Address
-- CHESTER ALLEN WILDS IDMT
737 TRSS
LACKLAND AFB, TX 78236-5511
Phone number: 210-671-1658
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