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1215053350
BRIAN ISAMU AIDA
GLASTONBURY, CT
NPI
1215053350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 007989)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
Mr. BRIAN ISAMU AIDA
72 SALMON BROOK DR
GLASTONBURY, CT 06033-2131
Phone number: 860-633-5244
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Mailing Address
Mr. BRIAN ISAMU AIDA
230 HARTFORD AVE
EAST GRANBY, CT 06026-9520
Phone number: 860-651-5120
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