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1033653944
SCOTT STEVEN LABIANCO
MIDDLEBURY, CT
NPI
1033653944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224L00000X Pedorthist
(Licence: CT C50216)
Enumeration Date
2016-12-12
Last Update Date
2016-12-12
Business Address
MR. SCOTT STEVEN LABIANCO BOCPD
80 TURNPIKE DR UNIT ONE
MIDDLEBURY, CT 06762-1830
Phone number: 203-758-8307
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Mailing Address
MR. SCOTT STEVEN LABIANCO BOCPD
80 TURNPIKE DR UNIT ONE
MIDDLEBURY, CT 06762-1830
Phone number: 203-758-8307
Copy