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1649963505
KEVIN MODERA
BRIDGEPORT, CT
NPI
1649963505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-29
Last Update Date
2023-05-29
Business Address
KEVIN MODERA
3741 MAIN ST
BRIDGEPORT, CT 06606-3609
Phone number: 510-908-3718
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Mailing Address
KEVIN MODERA
3741 MAIN ST
BRIDGEPORT, CT 06606-3609
Phone number: 510-908-3718
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