IVAN LEAVITT BROWN

GROTON, CT
NPI1013430016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2017-07-21
Last Update Date2017-07-21
Business Address
IVAN LEAVITT BROWN
159 TROUT AVENUE SUBASE NEW LONDON
GROTON, CT 06340
Phone number: 847-254-3904
Mailing Address
IVAN LEAVITT BROWN
235 CHARTER OAK DR
GROTON, CT 06340-2934
Phone number: 847-254-3904
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