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1205233947
MICHAEL TABAK
HARTFORD, CT
NPI
1205233947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CT 5988)
Enumeration Date
2014-11-24
Last Update Date
2014-11-24
Business Address
MICHAEL TABAK CRNA
114 WOODLAND ST
HARTFORD, CT 06105-1208
Phone number: 860-714-6654
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Mailing Address
MICHAEL TABAK CRNA
114 WOODLAND ST
HARTFORD, CT 06105-1208
Phone number: 860-714-6654
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