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1164986832
NEISHA PORTALATIN
WATERBURY, CT
NPI
1164986832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-01-28
Last Update Date
2019-01-28
Business Address
NEISHA PORTALATIN
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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Mailing Address
NEISHA PORTALATIN
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
Copy
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