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1073891222
ALEXANDER PANTELIS TINIOS
WATERTOWN, CT
NPI
1073891222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-07-21
Last Update Date
2011-07-21
Business Address
-- ALEXANDER PANTELIS TINIOS
163 TOWNLINE HWY
WATERTOWN, CT 06795
Phone number: 860-417-8713
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Mailing Address
-- ALEXANDER PANTELIS TINIOS
PO BOX 411 163 TOWNLINE HWY
WATERTOWN, CT 06795
Phone number: 860-417-8713
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