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Individual

ROBERT M OKANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 WAHOO AVE BLDG 449, GROTON, CT 06349-2324
(860) 694-6485
Mailing address
BLDG 159 TROUT AVE, NAVSUBASE NLON, GROTON, CT 06349

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
CT
1710I1002X
Independent Duty Corpsman
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/26/2021
Last updated
07/30/2026
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