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1356177075
TIAGO ROSSETTO BASSO
HARTFORD, CT
NPI
1356177075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
TIAGO ROSSETTO BASSO
21 GRAND ST
HARTFORD, CT 06106-1541
Phone number: 860-550-7500
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Mailing Address
TIAGO ROSSETTO BASSO
44 HIGH WOOD RD
WEST HARTFORD, CT 06117-1119
Phone number: 860-671-4032
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