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1306534326
LALA LUCANA FORREST
NEW HAVEN, CT
NPI
1306534326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT 390200000X)
Enumeration Date
2023-04-27
Last Update Date
2023-04-27
Business Address
LALA LUCANA FORREST
300 GEORGE ST STE 901
NEW HAVEN, CT 06511-6662
Phone number: 530-227-1895
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Mailing Address
LALA LUCANA FORREST
300 GEORGE ST STE 901
NEW HAVEN, CT 06511-6662
Phone number:
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