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Individual

MR. HOSEA TYLER BICKERSTAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NREMT

Contact information

Practice address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7185
Mailing address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7185

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B1725326
TX

Other

Enumeration date
05/14/2010
Last updated
05/14/2010
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