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1245674332
MIGUEL ANGEL ROMAN
NEW LONDON, CT
NPI
1245674332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2013-04-19
Last Update Date
2013-04-19
Business Address
MIGUEL ANGEL ROMAN
35 UNION ST APT. 521
NEW LONDON, CT 06320-6136
Phone number: 787-247-0572
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Mailing Address
MIGUEL ANGEL ROMAN
159 TROUT AVE
GROTON, CT 06349
Phone number: 787-247-0572
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