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1346590015
MANUEL LOZANO
GROTON, CT
NPI
1346590015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2012-09-11
Last Update Date
2012-09-11
Business Address
-- MANUEL LOZANO IDC
42 POPLAR RD
GROTON, CT 06340-3028
Phone number: 619-952-1520
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Mailing Address
-- MANUEL LOZANO IDC
42 POPLAR RD
GROTON, CT 06340-3028
Phone number: 619-952-1520
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