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1154012367
RAFAEL FERNANDO CASASOLA
FARMINGTON, CT
NPI
1154012367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT 13768)
Enumeration Date
2023-05-17
Last Update Date
2023-06-02
Business Address
RAFAEL FERNANDO CASASOLA DDS
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2000
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Mailing Address
RAFAEL FERNANDO CASASOLA DDS
395 BRITTANY FARMS RD. # 202 NEW BRITAIN, CT 06053
NEW BRITAIN, CT 06053
Phone number: 502-415-1119
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