MARK MAMMOTH

GROTON, CT
NPI1760668792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2008-01-22
Last Update Date2008-01-22
Business Address
Mr. MARK MAMMOTH
1 WAHOO DRIVE NAVAL BRANCH HEALTH CLINIC
GROTON, CT 06349-5600
Phone number: 860-694-2377
Mailing Address
Mr. MARK MAMMOTH
1 WAHOO DRIVE NAVAL BRANCH HEALTH CLINIC
GROTON, CT 06349-5600
Phone number: 860-694-2377
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