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1972813616
JEFFREY ALAN KLIMCZAK
GROTON, CT
NPI
1972813616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2010-10-15
Last Update Date
2010-10-15
Business Address
-- JEFFREY ALAN KLIMCZAK IDC
159 TROUT
GROTON, CT 06340
Phone number: 860-694-2876
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Mailing Address
-- JEFFREY ALAN KLIMCZAK IDC
159 TROUT AVE
GROTON, CT 06349
Phone number:
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