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1891229472
NICHOLAS MANJARREZ
GROTON, CT
NPI
1891229472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2017-04-20
Last Update Date
2023-10-25
Business Address
MR. NICHOLAS MANJARREZ IDC
159 TROUT AVENUE NAVAL UNDERSEA MEDICAL INSTITUTE
GROTON, CT 06349-5159
Phone number: 860-694-2876
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Mailing Address
MR. NICHOLAS MANJARREZ IDC
PO BOX 159
GROTON, CT 06349-5159
Phone number: 860-694-6453
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