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1336989078
EDWIN DE LA ROSA
WATERBURY, CT
NPI
1336989078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-30
Last Update Date
2024-05-30
Business Address
EDWIN DE LA ROSA
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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Mailing Address
EDWIN DE LA ROSA
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
Copy
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