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1205189271
FREDERICK J MACMULLEN
WATERBURY, CT
NPI
1205189271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CT 356)
Enumeration Date
2012-10-16
Last Update Date
2012-10-16
Business Address
-- FREDERICK J MACMULLEN
22 TOMPKINS ST
WATERBURY, CT 06708-1458
Phone number: 203-419-0381
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Mailing Address
-- FREDERICK J MACMULLEN
22 TOMPKINS ST
WATERBURY, CT 06708-1458
Phone number: 203-419-0381
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