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1972737971
IAN E COON
LACKLAND A F B, TX
NPI
1972737971
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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
2009-05-06
Last Update Date
2009-05-06
Business Address
Mr. IAN E COON IDMT
1618 TRUEMPER ST
LACKLAND A F B, TX 78236-5511
Phone number: 210-671-1657
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Mailing Address
Mr. IAN E COON IDMT
1618 TRUEMPER ST
LACKLAND A F B, TX 78236-5511
Phone number: 210-671-1657
Copy
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