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1174250294
LUIS RIVERABARRERA
GROTON, CT
NPI
1174250294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2022-08-08
Last Update Date
2022-08-08
Business Address
LUIS RIVERABARRERA IDC
159 TROUT AVE
GROTON, CT 06349
Phone number: 912-464-7312
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Mailing Address
LUIS RIVERABARRERA IDC
159 TROUT AVE
GROTON, CT 06349
Phone number: 912-464-7312
Copy
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