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UNITED STATES ARMY

Mental Health

Tripler Army Medical Center, Hawaii

Provider NPI: 1568857357

Organization Information:
Organization Name:  UNITED STATES ARMY
Organization is not Subpart
Authorized Official:  JEFFREY I BASS  RESIDENCY DIRECTOR OF TRAINING  808-4336340

Practice Location:
1 JARRETT WHITE RD  TRIPLER ARMY MEDICAL CENTER, HI 96859 US
Tel: 808-433-6060  Fax: --

Business Mailing Address:
91-1030 KAILEOLEA DR E3 EWA BEACH, HI 96706 US
Tel: 806-778-3897  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QM0801XAmbulatory Health Care Facilities
Clinic/Center
Mental Health (Including Community Mental Health Center)
WY563









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