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1952858482
PRUDENCIO CUPAT SY
GROTON, CT
NPI
1952858482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- PRUDENCIO CUPAT SY IDC
BLDG 159 NAVSUBASE NLON NAVAL UNDERSEA MEDICAL INSTITUTE
GROTON, CT 06349-5159
Phone number: 860-694-2876
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Mailing Address
-- PRUDENCIO CUPAT SY IDC
BLDG 159 NAVSUBASE NLON NAVAL UNDERSEA MEDICAL INSTITUTE
GROTON, CT 06349-5159
Phone number: 860-694-2876
Copy
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