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1124413703
KIRK LARSEN
WATERFORD, CT
NPI
1124413703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: CT 001095)
Enumeration Date
2015-04-01
Last Update Date
2015-04-01
Business Address
-- KIRK LARSEN
850 HARTFORD TPKE COHENS FASHION OPTICAL
WATERFORD, CT 06385-4238
Phone number: 860-444-7360
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Mailing Address
-- KIRK LARSEN
850 HARTFORD TPKE COHENS FASHION OPTICAL
WATERFORD, CT 06385-4238
Phone number: 860-444-7360
Copy
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