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Organization

DFAS-CL/JFLB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DUSTIN BLAKE JONES IDC (INDEPENDENT DUTY CORPSMAN)
(850) 390-1718
Entity
Organization

Contact information

Practice address
12092 HARMONY CIR, GULFPORT, MS 39503-9524
(850) 390-1718
Mailing address
12092 HARMONY CIR, GULFPORT, MS 39503-9524
(850) 390-1718

Taxonomy

Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary

Other

Enumeration date
05/21/2012
Last updated
05/21/2012
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