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1265552400
ROBERTO VERGARA
GROTON, CT
NPI
1265552400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 007463)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
-- ROBERTO VERGARA RPT
1145 POQUONNOCK RD
GROTON, CT 06340-4620
Phone number: 860-446-9960
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Mailing Address
-- ROBERTO VERGARA RPT
172 HAWTHORNE DR APT 19F
NEW LONDON, CT 06320-4052
Phone number:
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