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1528018157
SHANNON M MULLIGAN
WATERBURY, CT
NPI
1528018157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CT 002345)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
-- SHANNON M MULLIGAN O.D.
604 LAKEWOOD RD
WATERBURY, CT 06704-2419
Phone number: 203-575-0900
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Mailing Address
-- SHANNON M MULLIGAN O.D.
87 GRANDVIEW AVE
WATERBURY, CT 06708-2514
Phone number: 203-574-2020
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