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1073160461
DEVONDRA RIDDICK
WATERBURY, CT
NPI
1073160461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
DEVONDRA RIDDICK
402 E MAIN ST
WATERBURY, CT 06702-1701
Phone number: 203-755-1143
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Mailing Address
DEVONDRA RIDDICK
141 E MAIN ST FL 4
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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