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1104400027
JACKSON CHRISTOPHER SHAMPO
NEW HAVEN, CT
NPI
1104400027
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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
2021-05-06
Last Update Date
2022-05-02
Business Address
JACKSON CHRISTOPHER SHAMPO
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
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Mailing Address
JACKSON CHRISTOPHER SHAMPO
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
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