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1942983788
NICHOLAS ANDREW CLEAR
GROTON, CT
NPI
1942983788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
NICHOLAS ANDREW CLEAR
TROUT AVE BLDG. 159
GROTON, CT 06340
Phone number: 860-694-3416
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Mailing Address
NICHOLAS ANDREW CLEAR
87 LEAFWOOD LN APT 235
GROTON, CT 06340-6296
Phone number: 865-919-1611
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