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1346692407
IRIANA PENA MANRIQUE
FARMINGTON, CT
NPI
1346692407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-07-12
Last Update Date
2016-07-12
Business Address
Miss IRIANA PENA MANRIQUE D.D.S.
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2000
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Mailing Address
Miss IRIANA PENA MANRIQUE D.D.S.
7 TALCOTT FOREST RD APT N
FARMINGTON, CT 06032-3572
Phone number: 860-284-8172
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