Individual
NICHOLAS ANDREW CLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
TROUT AVE, BLDG. 159, GROTON, CT 06340
(860) 694-3416
Mailing address
87 LEAFWOOD LN APT 235, GROTON, CT 06340-6296
(865) 919-1611
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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