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1356766448
FREDERICK JAMES CHARD
GROTON, CT
NPI
1356766448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-02-26
Last Update Date
2014-02-26
Business Address
Mr. FREDERICK JAMES CHARD IDC
55 SOUTH RD APT 4B
GROTON, CT 06340-4641
Phone number: 860-356-6153
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Mailing Address
Mr. FREDERICK JAMES CHARD IDC
55 SOUTH RD APT 4B
GROTON, CT 06340-4641
Phone number: 860-356-6153
Copy
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