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Organization
SURFACE WARFARE MEDICAL INSTITUTE
Active
Organization
SURFACE WARFARE MEDICAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LEE NASH IDC (INDEPENDANT DUTY CORPSMAN)
(716) 951-9449
Entity
Organization
Contact information
Practice address
14 RUDDER CT SW, BOLLING AFB, BOLLING AFB, DC 20032-7427
(716) 951-9449
Mailing address
14 RUDDER CT SW, BOLLING AFB, BOLLING AFB, DC 20032-7427
(716) 951-9449
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
NULL
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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