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1063052819
KENNY DANIEL HARP
GROTON, CT
NPI
1063052819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-01-09
Last Update Date
2020-01-09
Business Address
Mr. KENNY DANIEL HARP IDC
59 DEERWOOD DR
GROTON, CT 06340-2513
Phone number: 224-535-0152
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Mailing Address
Mr. KENNY DANIEL HARP IDC
59 DEERWOOD DR
GROTON, CT 06340-2513
Phone number: 224-535-0152
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