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1992336721
JOSH IMMITT
FPO, AA
NPI
1992336721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2020-01-30
Last Update Date
2020-01-30
Business Address
JOSH IMMITT PA
WEED ARMY COMMUNITY HOSPITAL BUILDING 390, N LOOP ROAD
FPO, AA 92310
Phone number: 516-423-9010
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Mailing Address
JOSH IMMITT PA
25 CRESCENT RD
PORT WASHINGTON, NY 11050-3326
Phone number: 516-423-9010
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