Jeremiah Jordan Decasteele
Jeremiah Jordan Decasteele is an Independent Duty Corpsman in Groton, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2024
Practice location Address checks out
63 Ohio AveGroton, CT 06340-6106
Phone: (631) 992-0705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X (CT) |
|---|
Record details
| NPI number | 1508636366 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 3, 2024 |
| Last updated in NPPES | January 3, 2024 |
| Certification date | January 3, 2024 |
| Mailing address | 63 Ohio Ave, Groton, CT 06340-6106 |
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