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1134900830
STACEY R EVANS
TORRINGTON, CT
NPI
1134900830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: CT 001826)
Enumeration Date
2023-10-09
Last Update Date
2023-10-09
Business Address
Mrs. STACEY R EVANS LO
333 KENNEDY DR STE L202
TORRINGTON, CT 06790-7201
Phone number: 860-482-9399
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Mailing Address
Mrs. STACEY R EVANS LO
8 ARBOR RIDGE RD
TORRINGTON, CT 06790-2576
Phone number: 270-933-8084
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