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1780016352
MATTHEW CARTER
GROTON, CT
NPI
1780016352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
-- MATTHEW CARTER SUBIDC
1 WAHOO AVE
GROTON, CT 06349-2324
Phone number: 580-458-6944
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Mailing Address
-- MATTHEW CARTER SUBIDC
112 DEWEY AVE
GROTON, CT 06340-3343
Phone number:
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