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1770353419
MATTHEW SCOTT THARP
GROTON, CT
NPI
1770353419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2024-01-04
Last Update Date
2024-01-04
Business Address
MATTHEW SCOTT THARP IDC
104 DEERWOOD DR
GROTON, CT 06340-2516
Phone number: 808-636-6365
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Mailing Address
MATTHEW SCOTT THARP IDC
104 DEERWOOD DR
GROTON, CT 06340-2516
Phone number: 808-636-6365
Copy
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