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1336883214
EVAN MICHAEL RICO
BRIDGEPORT, CT
NPI
1336883214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-04-26
Last Update Date
2022-04-26
Business Address
EVAN MICHAEL RICO
170 BENNETT ST
BRIDGEPORT, CT 06605-2901
Phone number: 203-330-6790
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Mailing Address
EVAN MICHAEL RICO
170 BENNETT ST
BRIDGEPORT, CT 06605-2901
Phone number:
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