DAVID GEORGE HAYNESNORTON

GROTON, CT
NPI1174901433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2015-05-07
Last Update Date2015-05-07
Business Address
Mr. DAVID GEORGE HAYNESNORTON IDC
5 LAKE ST
GROTON, CT 06340-3317
Phone number: 860-694-8226
Mailing Address
Mr. DAVID GEORGE HAYNESNORTON IDC
5 LAKE ST
GROTON, CT 06340-3317
Phone number: 860-694-8226
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