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1447293212
OCTAVIO GONCALVES
NEW HAVEN, CT
NPI
1447293212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CT 073600)
Enumeration Date
2006-06-13
Last Update Date
2014-02-25
Business Address
Mr. OCTAVIO GONCALVES CRNA
1450 CHAPEL ST
NEW HAVEN, CT 06511-4405
Phone number: 203-789-3540
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Mailing Address
Mr. OCTAVIO GONCALVES CRNA
35 TIMBER LN
BETHANY, CT 06524-3365
Phone number: 203-623-1612
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