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1588631014
ROY L UNDERWOOD
GROTON, CT
NPI
1588631014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2006-03-03
Last Update Date
2007-07-08
Business Address
ROY L UNDERWOOD SFIDC
1 WAHOO AVE
GROTON, CT 06340-2324
Phone number: 860-694-5139
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Mailing Address
ROY L UNDERWOOD SFIDC
238 CEMETERY RD
PLAINFIELD, CT 06374-1515
Phone number: 860-564-7989
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