Individual
PAUL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 MONROE LN, GROTON, CT 06340-2482
(832) 282-5247
Mailing address
3 MONROE LN, GROTON, CT 06340-2482
(832) 282-5247
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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