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1528699121
SAMUEL M ROH
FARMINGTON, CT
NPI
1528699121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT 12884)
Enumeration Date
2020-02-01
Last Update Date
2020-08-10
Business Address
SAMUEL M ROH
263 FARMINGTON AVE
FARMINGTON, CT 06032-1956
Phone number: 860-679-2000
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Mailing Address
SAMUEL M ROH
115 EDGEWOOD AVE APT 70
NEW HAVEN, CT 06511-4585
Phone number: 203-815-0669
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