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1477210979
CASANDRA MARIE BLACK
WINDSOR, CT
NPI
1477210979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 1792)
Enumeration Date
2021-11-19
Last Update Date
2023-09-07
Business Address
CASANDRA MARIE BLACK
4 BATCHELDER RD
WINDSOR, CT 06095-3028
Phone number: 860-687-6171
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Mailing Address
CASANDRA MARIE BLACK
481 OLD STAFFORD RD
TOLLAND, CT 06084-2229
Phone number:
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