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1376194274
CHRISTOPHER LEE ROY SMITH
GROTON, CT
NPI
1376194274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
CHRISTOPHER LEE ROY SMITH Submarine IDC
USS SAN JUAN (SSN 751)
GROTON, CT 06349
Phone number: 910-650-4616
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Mailing Address
CHRISTOPHER LEE ROY SMITH Submarine IDC
36 BAYBERRY HILL RD
NORWICH, CT 06360-1435
Phone number: 910-650-4616
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