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Organization
UNITED STATES AIR FORCE
Active
Organization
UNITED STATES AIR FORCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ABNER (PMHNP-BC)
(619) 813-1270
Entity
Organization
Contact information
Practice address
49TH MEDICAL BLDG 17, HOLLOMAN AFB, NM 88330
(575) 572-5676
Mailing address
49MDG 280 FIRST ST, HOLLOMAN AFB, NM 88330
(575) 572-5676
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
RN0000193280
TN
Other
Enumeration date
11/26/2014
Last updated
01/07/2015
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