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Organization
ARMY
Active
Organization
ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER M VAZQUEZ-ORTIZ MD (PGY-1/TY)
(787) 914-6038
Entity
Organization
Contact information
Practice address
202 VINEYARD WAY, APT. 601, EVANS, GA 30809
(787) 914-6038
Mailing address
2020 VINEYARD WAY, EVANS, GA 30809-9146
(787) 914-6038
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
NULL
Other
Enumeration date
08/14/2009
Last updated
08/19/2009
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