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1053370148
TIMOTHY G WAKSMONSKI
NEW LONDON, CT
NPI
1053370148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: CA 24720000X)
Enumeration Date
2006-03-20
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY G WAKSMONSKI
15 MOHEGAN AVE
NEW LONDON, CT 06320-8100
Phone number: 860-444-8408
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Mailing Address
Mr. TIMOTHY G WAKSMONSKI
1538 ROUTE 12 UNIT 7
GALES FERRY, CT 06335-1845
Phone number: 860-444-8408
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