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1336707454
FRANCISCO ROBERTO LARA
NORWALK, CT
NPI
1336707454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 1234)
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
FRANCISCO ROBERTO LARA ATC
490 WESTPORT AVE
NORWALK, CT 06851-4424
Phone number: 203-614-9635
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Mailing Address
FRANCISCO ROBERTO LARA ATC
490 WESTPORT AVE
NORWALK, CT 06851-4424
Phone number:
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