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1144063033
MICHAEL THOMAS CRISCUOLO
SHELTON, CT
NPI
1144063033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: CT 1504)
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
Mr. MICHAEL THOMAS CRISCUOLO LO
465 BRIDGEPORT AVE
SHELTON, CT 06484-4751
Phone number: 203-926-1189
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Mailing Address
Mr. MICHAEL THOMAS CRISCUOLO LO
362 SUMMERFIELD GDNS
SHELTON, CT 06484-6306
Phone number: 203-213-4511
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