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Individual

MR. HERMAN SHERMAINE CLINCY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HEALH SERVICES TECH

Contact information

Practice address
2200 BERGQUIST DR., SUITE 1, LACKLAND AFB, TX 78236-5301
(210) 645-0578
(210) 292-6845
Mailing address
2200 BERGQUIST DR., SUITE 1, LACKLAND AFB, TX 78236-5301
(210) 645-0578
(210) 292-6845

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
TX

Other

Enumeration date
10/19/2006
Last updated
07/08/2007
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