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1528468055
JONATHAN MORAN
WATERBURY, CT
NPI
1528468055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-09-03
Last Update Date
2014-09-03
Business Address
-- JONATHAN MORAN BS
402 E MAIN ST
WATERBURY, CT 06702-1701
Phone number: 203-755-1143
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Mailing Address
-- JONATHAN MORAN BS
141 E MAIN ST 4TH FLOOR ADMINISTRATION
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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