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1932260965
DAVID GRAHAM SOUTHERLAND
GROTON, CT
NPI
1932260965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: MS 10023)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
Dr. DAVID GRAHAM SOUTHERLAND M.D.
BLDG 148, TROUT AVE
GROTON, CT 06349-5900
Phone number: 860-694-3263
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Mailing Address
Dr. DAVID GRAHAM SOUTHERLAND M.D.
BLDG 148, TROUT AVE
GROTON, CT 06349-5900
Phone number: 860-694-3263
Copy
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