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1750631685
US NAVY
GROTON, CT
NPI
1750631685
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Entity Type
Organization
Authorized Contact
ISMAEL ARTURO LOPEZ
Sub Idc
361-522-5925
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2012-09-18
Last Update Date
2012-09-18
Business Address
US NAVY
207 HICKORY DR
GROTON, CT 06340-2946
Phone number: 361-522-5925
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Mailing Address
US NAVY
207 HICKORY DR
GROTON, CT 06340-2946
Phone number: 361-522-5925
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