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1821106154
JOHN J BOGANNAM
TRUMBULL, CT
NPI
1821106154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CT 000493)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
Dr. JOHN J BOGANNAM DC
4154 MADISON AVENUE
TRUMBULL, CT 06611-3563
Phone number: 203-374-5560
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Mailing Address
Dr. JOHN J BOGANNAM DC
4154 MADISON AVENUE
TRUMBULL, CT 06611-3563
Phone number: 203-374-5560
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