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1891248308
KENNETH ALOKA WAUGH
GROTON, CT
NPI
1891248308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2016-08-01
Last Update Date
2016-08-01
Business Address
-- KENNETH ALOKA WAUGH IDC
151 BURNINGTREE DR
GROTON, CT 06340-3154
Phone number: 714-280-7672
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Mailing Address
-- KENNETH ALOKA WAUGH IDC
151 BURNINGTREE DR
GROTON, CT 06340-3154
Phone number: 714-280-7672
Copy
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