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1184921017
MABELLE TEODORO MEDINA
FAIRFIELD, CT
NPI
1184921017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist Geriatrics
(Licence: CT 0007457)
Enumeration Date
2011-02-11
Last Update Date
2011-02-11
Business Address
MABELLE TEODORO MEDINA PT
175 JEFFERSON ST
FAIRFIELD, CT 06825-1078
Phone number: 203-365-6443
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Mailing Address
MABELLE TEODORO MEDINA PT
175 JEFFERSON ST
FAIRFIELD, CT 06825-1078
Phone number: 203-365-6443
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