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IVAN VICENTE, IDMT
IDMT
Independent Duty Medical Technicians
NPI: 1710201553Individual
Specialties, Licenses & Credentials
Military Health Care Provider — Independent Duty Medical Technicians
Code: 1710I1003X
Contact & Hours
- Address
- 433 BLACK ELK CT
ELLSWORTH AFB, SD 57706 - Phone
- (605) 521-3502
Quick Facts
- NPI
- 1710201553
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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