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1942039060
BRIAN RUSSELL FLYNN
GROTON, CT
NPI
1942039060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
BRIAN RUSSELL FLYNN Submarine IDC
122 CORMORANT RD
GROTON, CT 06340-3113
Phone number: 814-214-2394
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Mailing Address
BRIAN RUSSELL FLYNN Submarine IDC
122 CORMORANT RD
GROTON, CT 06340-3113
Phone number: 814-214-2394
Copy
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