ELIZABETH FAGUE

WATERFORD, CT
NPI1538397419
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: CT  001497)
Enumeration Date2009-06-30
Last Update Date2009-06-30
Business Address
-- ELIZABETH FAGUE
155 WATERFORD PARKWAY N.
WATERFORD, CT 06385
Phone number: 860-437-3748
Mailing Address
-- ELIZABETH FAGUE
51 HI TOP HILL RD
VOLUNTOWN, CT 06384-1813
Phone number: 860-376-8934
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