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1780882738
MICHAEL NUTT
GROTON, CT
NPI
1780882738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-07-10
Last Update Date
2008-02-08
Business Address
-- MICHAEL NUTT IDC
BLDG 517 TAUGTOG AVE NAVSUBSCOL
GROTON, CT 06349
Phone number: 559-381-5698
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Mailing Address
-- MICHAEL NUTT IDC
PO BOX 700 N443 NAVSUBSCOL
GROTON, CT 06349
Phone number: 559-381-5698
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