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Organization
HQ AIR FORCE RESERVE COMMAND
Active
Organization
HQ AIR FORCE RESERVE COMMAND
Active
Other names
AFRC SG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ALTON HARRISON IDMT (COMMAND FUNCTIONAL MANAGER)
(478) 327-1893
Entity
Organization
Contact information
Practice address
135 PAGE RD, ROBINS AFB, GA 31098-1601
(478) 327-1893
Mailing address
135 PAGE RD, ROBINS AFB, GA 31098-1601
(478) 327-1893
Taxonomy
Speciality
Code
Description
License number
State
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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