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1639601735
EUGENE MONTALLA
DANBURY, CT
NPI
1639601735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-03-29
Last Update Date
2017-03-29
Business Address
-- EUGENE MONTALLA
24 HOSPITAL AVE
DANBURY, CT 06810-6099
Phone number: 203-739-4973
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Mailing Address
-- EUGENE MONTALLA
17826 24TH AVENUE CT E
TACOMA, WA 98445-4220
Phone number: 253-353-6260
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