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1265837488
VERNON GOODWIN
GROTON, CT
NPI
1265837488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-10-30
Last Update Date
2014-10-30
Business Address
-- VERNON GOODWIN
102 DEERWOOD DR
GROTON, CT 06340-2516
Phone number: 541-778-2050
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Mailing Address
-- VERNON GOODWIN
102 DEERWOOD DR
GROTON, CT 06340-2516
Phone number: 541-778-2050
Copy
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