CODY EUGENE SHAW

GROTON, CT
NPI1063973790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2019-03-26
Last Update Date2019-03-26
Business Address
CODY EUGENE SHAW
NUMI TROUT AVE BUILDING 83
GROTON, CT 06340
Phone number: 860-694-2876
Mailing Address
CODY EUGENE SHAW
5 WELLS ST
GROTON, CT 06340-3336
Phone number: 682-553-2447
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