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1336511401
ALLA BOURLATSKII
FAIRFIELD, CT
NPI
1336511401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CT 004954)
Enumeration Date
2015-10-28
Last Update Date
2015-10-28
Business Address
-- ALLA BOURLATSKII
175 JEFFERSON ST
FAIRFIELD, CT 06825-1078
Phone number: 203-365-6443
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Mailing Address
-- ALLA BOURLATSKII
175 JEFFERSON ST
FAIRFIELD, CT 06825-1078
Phone number:
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