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1518576370
EDISON YADIEL MARTINEZ MONEGRO
FARMINGTON, CT
NPI
1518576370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-07-28
Last Update Date
2022-04-20
Business Address
EDISON YADIEL MARTINEZ MONEGRO MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-8073
Phone number: 860-679-8080
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Mailing Address
EDISON YADIEL MARTINEZ MONEGRO MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-8073
Phone number: 860-679-8080
Copy
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