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1174605810
ALAN BALAVENDER
WATERTOWN, CT
NPI
1174605810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 3638)
Enumeration Date
2006-10-20
Last Update Date
2007-10-26
Business Address
ALAN BALAVENDER MS PT
27 DEPOT ST
WATERTOWN, CT 06795-2601
Phone number: 860-274-4092
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Mailing Address
ALAN BALAVENDER MS PT
27 DEPOT ST
WATERTOWN, CT 06795-2601
Phone number: 860-274-4092
Copy
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