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1528777505
BREAKAWAY HEALTH SERVICES LLC
MANCHESTER, CT
NPI
1528777505
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Entity Type
Organization
Authorized Contact
TIM BOMBARD
Owner
860-214-4513
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2022-11-18
Last Update Date
2024-06-18
Business Address
BREAKAWAY HEALTH SERVICES LLC
843 MAIN ST # 15
MANCHESTER, CT 06040-6020
Phone number: 860-648-3001
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Mailing Address
BREAKAWAY HEALTH SERVICES LLC
694 PALISADO AVE
WINDSOR, CT 06095-2037
Phone number: 860-214-4513
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