WALTER M JONGBLOED

FARMINGTON, CT
NPI1184250722
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-16
Last Update Date2020-03-16
Business Address
WALTER M JONGBLOED
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 203-868-4157
Mailing Address
WALTER M JONGBLOED
236 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 203-868-4157
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