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1396867099
ALLISON A IANCALE
FAIRFIELD, CT
NPI
1396867099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 000099)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
-- ALLISON A IANCALE ATC
1073 N BENSON RD
FAIRFIELD, CT 06824-5171
Phone number: 203-254-4000
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Mailing Address
-- ALLISON A IANCALE ATC
355 SUBURBAN AVE
FAIRFIELD, CT 06825-1851
Phone number: 203-209-3387
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