JEREMIAH JORDAN DECASTEELE

GROTON, CT
NPI1508636366
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2024-01-03
Last Update Date2024-01-03
Business Address
JEREMIAH JORDAN DECASTEELE
63 OHIO AVE
GROTON, CT 06340-6106
Phone number: 631-992-0705
Mailing Address
JEREMIAH JORDAN DECASTEELE
63 OHIO AVE
GROTON, CT 06340-6106
Phone number: 631-992-0705
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