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1992783211
CHUNG SIEDLECKI
LACKLAND A F B, TX
NPI
1992783211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: PA MD 051665)
Enumeration Date
2006-01-06
Last Update Date
2007-07-08
Business Address
Dr. CHUNG SIEDLECKI M.D.
1515 TRUEMPER ST
LACKLAND A F B, TX 78236-5583
Phone number: 210-292-3613
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Mailing Address
Dr. CHUNG SIEDLECKI M.D.
1515 TRUEMPER ST
LACKLAND AFB, TX 78236
Phone number: 210-292-3613
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