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1215549506
DESIREE HERENS
WATERBURY, CT
NPI
1215549506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-08-19
Last Update Date
2020-08-19
Business Address
DESIREE HERENS
142 GRIGGS ST
WATERBURY, CT 06704-3110
Phone number: 203-574-9000
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Mailing Address
DESIREE HERENS
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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