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1366812703
JOSEPH KULLBERG
PROSPECT, CT
NPI
1366812703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: CT 5867)
Enumeration Date
2015-09-28
Last Update Date
2015-09-28
Business Address
PROF. JOSEPH KULLBERG
12 COACHLIGHT CIR
PROSPECT, CT 06712-1564
Phone number: 203-521-7040
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Mailing Address
PROF. JOSEPH KULLBERG
12 COACHLIGHT CIR
PROSPECT, CT 06712-1564
Phone number: 203-521-7040
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