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1003931163
JOSHUA O BALTER
GROTON, CT
NPI
1003931163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
JOSHUA O BALTER NAVY IDC
1 WAHOO AVE SUBASE NLON
GROTON, CT 06340-2324
Phone number: 860-694-4123
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Mailing Address
JOSHUA O BALTER NAVY IDC
1 WAHOO AVE SUBASE NLON
GROTON, CT 06340-2324
Phone number: 860-694-4123
Copy
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