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1003645706
SEYEDEH PEGAH MIRMALEK
FARMINGTON, CT
NPI
1003645706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT 14209)
Enumeration Date
2024-07-31
Last Update Date
2024-08-09
Business Address
SEYEDEH PEGAH MIRMALEK
FARMINGTON
FARMINGTON, CT 06030
Phone number: 860-503-6925
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Mailing Address
SEYEDEH PEGAH MIRMALEK
16 RAVENWOOD RD, 06107
WEST HARTFORD, CT 06107
Phone number: 860-503-6925
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