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1093176141
KATHLEEN G DOMEK
STRATFORD, CT
NPI
1093176141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: CT CT 001614)
Enumeration Date
2016-03-17
Last Update Date
2016-03-17
Business Address
MRS. KATHLEEN G DOMEK
150 BARNUM AVENUE CUT OFF
STRATFORD, CT 06614
Phone number: 203-502-7637
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Mailing Address
MRS. KATHLEEN G DOMEK
21 BELLE CIR
WEST HAVEN, CT 06516-7054
Phone number: 203-502-7637
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