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1225571508
EDWARD URETA
MIDDLETOWN, CT
NPI
1225571508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-11-18
Last Update Date
2016-11-18
Business Address
-- EDWARD URETA
230 MAIN STREET EXT
MIDDLETOWN, CT 06457-4470
Phone number: 860-343-5304
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Mailing Address
-- EDWARD URETA
222 MAIN STREET EXT PO BOX 1000
MIDDLETOWN, CT 06457-4470
Phone number: 860-343-5304
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