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1114591815
ELLEN A ROSEEN
MANCHESTER, CT
NPI
1114591815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: CT 001298)
Enumeration Date
2021-05-17
Last Update Date
2021-05-17
Business Address
MRS. ELLEN A ROSEEN LO
236 N MAIN ST
MANCHESTER, CT 06042-2004
Phone number: 860-646-3577
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Mailing Address
MRS. ELLEN A ROSEEN LO
236 N MAIN ST
MANCHESTER, CT 06042-2004
Phone number: 860-646-3577
Copy
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