Individual
CARL BRANYON COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91 HORNBEAM RD, GROTON, CT 06340-3026
(843) 476-0434
Mailing address
91 HORNBEAM RD, GROTON, CT 06340-3026
(843) 476-0434
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CT
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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