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1346462520
DIANE MINTICH
WALLINGFORD, CT
NPI
1346462520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: CT 001415)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- DIANE MINTICH LO
58 CENTER ST
WALLINGFORD, CT 06492-4112
Phone number: 203-265-1541
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Mailing Address
-- DIANE MINTICH LO
58 CENTER ST
WALLINGFORD, CT 06492-4112
Phone number:
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