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1164094942
EVAN DAVIS
NEWINGTON, CT
NPI
1164094942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207PS0010X Emergency Medicine, Sports Medicine
(Licence: CT 000721)
Enumeration Date
2021-07-12
Last Update Date
2021-07-12
Business Address
EVAN DAVIS ATC
156 ROSELEAH AVE
NEWINGTON, CT 06111-2055
Phone number: 860-614-2122
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Mailing Address
EVAN DAVIS ATC
156 ROSELEAH AVE
NEWINGTON, CT 06111-2055
Phone number:
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