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1104348309
MADALYN IDE
DAYVILLE, CT
NPI
1104348309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-07-10
Last Update Date
2022-07-21
Business Address
MADALYN IDE ATC
811 HARTFORD PIKE
DAYVILLE, CT 06241-1716
Phone number: 207-520-9132
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Mailing Address
MADALYN IDE ATC
811 HARTFORD PIKE
DAYVILLE, CT 06241-1716
Phone number: 207-520-9132
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