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1184987992
JEFFREY ROBERT LAVALLEE
GLASTONBURY, CT
NPI
1184987992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CT 1.056513)
Enumeration Date
2012-06-18
Last Update Date
2019-08-12
Business Address
JEFFREY ROBERT LAVALLEE M.D.
59 SYCAMORE ST #301
GLASTONBURY, CT 06033-4535
Phone number: 860-430-2821
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Mailing Address
JEFFREY ROBERT LAVALLEE M.D.
59 SYCAMORE ST #301
GLASTONBURY, CT 06033-4535
Phone number: 860-430-2821
Copy
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