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1023245776
BRADLEY PETER BOHMAN
WATERFORD, CT
NPI
1023245776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: CT 632)
Enumeration Date
2009-06-19
Last Update Date
2009-06-19
Business Address
MR. BRADLEY PETER BOHMAN LO
VISION CENTER 155 WATERFORD PKWY NORTH
WATERFORD, CT 06385
Phone number: 860-437-3748
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Mailing Address
MR. BRADLEY PETER BOHMAN LO
38 OAK ST
WESTERLY, RI 02891-1741
Phone number: 401-596-9482
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