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Individual

RAFAEL DAVID GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDMT

Contact information

Practice address
113 LIELMANIS AVE, HULRBURT FIELD, HURLBURT FIELD, FL 32544-5613
(850) 881-5152
Mailing address
113 LIELMANIS AVE, 1SOSS/OSM HULRBURT FIELD, FORT WALTON BEACH, FL 32541

Taxonomy

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

Other

Enumeration date
05/01/2009
Last updated
01/05/2012
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