JOE CABALHIN DITTMAN

MOUNTAIN HOME A F B, ID
NPI1942430178
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-07-22
Last Update Date2009-07-22
Business Address
-- JOE CABALHIN DITTMAN IDMT
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648-1062
Phone number: 208-828-7313
Mailing Address
-- JOE CABALHIN DITTMAN IDMT
8019 BRADT CT
MOUNTAIN HOME A F B, ID 83648-1064
Phone number: 208-832-1067
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