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1093064560
MICHAEL PAUL DORRIS
GROTON, CT
NPI
1093064560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2012-08-30
Last Update Date
2013-09-06
Business Address
MR. MICHAEL PAUL DORRIS
16 DIVISION ST APT 1S
GROTON, CT 06340-5015
Phone number: 760-500-3776
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Mailing Address
MR. MICHAEL PAUL DORRIS
2333 KAPIOLANI BLVD APT 1015
HONOLULU, HI 96826-4420
Phone number: 760-500-3776
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