CHARLES SCOTT VANCUREN

GROTON, CT
NPI1942245014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-06-20
Last Update Date2008-06-06
Business Address
-- CHARLES SCOTT VANCUREN IDC US NAVY
73 EASTERN POINT ROAD USS MISSOURI SSN 780
GROTON, CT 06340
Phone number: 860-433-6284
Mailing Address
-- CHARLES SCOTT VANCUREN IDC US NAVY
73 EASTERN POINT ROAD
GROTON, CT 06340
Phone number: 860-433-6284
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