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1215220645
WILLIAM GOMES
WATERBURY, CT
NPI
1215220645
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Entity Type
Organization
Authorized Contact
SANDRA PORTEUS
Exec Dir
203-756-8317
Organization Subpart ?
Yes
Primary Taxonomy
251B00000X Case Management
(Licence: CT 007396)
Enumeration Date
2011-05-18
Last Update Date
2011-06-06
Business Address
WILLIAM GOMES
34 MURRAY ST
WATERBURY, CT 06710-1920
Phone number: 203-756-8317
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Mailing Address
WILLIAM GOMES
34 MURRAY ST
WATERBURY, CT 06710-1920
Phone number: 203-756-8317
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