MICHAEL DEAN COUCH

GROTON, CT
NPI1184160483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2017-01-10
Last Update Date2017-01-10
Business Address
Mr. MICHAEL DEAN COUCH IDC
159 TROUT AVE
GROTON, CT 06349-5159
Phone number: 860-581-0090
Mailing Address
Mr. MICHAEL DEAN COUCH IDC
PO BOX 159
GROTON, CT 06349-5159
Phone number: 860-581-0090
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