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1982838702
EDGAR LEE NEAL
MOODY A F B, GA
NPI
1982838702
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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
2009-05-07
Last Update Date
2009-05-07
Business Address
Mr. EDGAR LEE NEAL IDMT
8409 WEREWOLF RUN
MOODY A F B, GA 31699-1806
Phone number: 229-257-6130
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Mailing Address
Mr. EDGAR LEE NEAL IDMT
8409 WEREWOLF RUN
MOODY A F B, GA 31699-1806
Phone number: 229-257-6130
Copy
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