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1710580436
KENNETH N JOHNSON
NIANTIC, CT
NPI
1710580436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: CT CT0001217)
Enumeration Date
2020-11-17
Last Update Date
2020-11-17
Business Address
KENNETH N JOHNSON
179 FLANDERS RD
NIANTIC, CT 06357-1206
Phone number: 860-691-0279
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Mailing Address
KENNETH N JOHNSON
179 FLANDERS RD
NIANTIC, CT 06357-1206
Phone number: 860-739-0279
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