JEREMIAH LOIUS KING

GROTON, CT
NPI1982912903
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2010-09-24
Last Update Date2010-09-24
Business Address
Mr. JEREMIAH LOIUS KING IDC
141 DEWEY AVE
GROTON, CT 06340-3337
Phone number: 228-313-6708
Mailing Address
Mr. JEREMIAH LOIUS KING IDC
141 DEWEY AVE
GROTON, CT 06340-3337
Phone number: 228-313-6708
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