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Individual

MR. RETH EL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDMT

Contact information

Practice address
113 HOWIE WALTERS RD, HURLBURT FIELD, FL 32544-5668
(850) 884-1168
Mailing address
225 BENNETT AVE, 1SOSS/OSM, HURLBURT FIELD, FL 32544-5707
(850) 884-1168

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
04/28/2009
Last updated
06/24/2009
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