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1912504093
DALLAS OMAR MCWILLIAMS
FAIRFIELD, CA
NPI
1912504093
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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
2020-10-02
Last Update Date
2022-06-15
Business Address
Mr. DALLAS OMAR MCWILLIAMS IDMT
101 BODIN CIR
FAIRFIELD, CA 94535-1809
Phone number: 707-423-3000
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Mailing Address
Mr. DALLAS OMAR MCWILLIAMS IDMT
1229 126TH STREET CT E
TACOMA, WA 98445-7100
Phone number: 253-223-6417
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