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1215566401
AYESHA TAMARA GITTENS
FARMINGTON, CT
NPI
1215566401
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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
2020-04-08
Last Update Date
2020-04-08
Business Address
Dr. AYESHA TAMARA GITTENS MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-4988
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Mailing Address
Dr. AYESHA TAMARA GITTENS MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2147
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