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1659493021
PETER JOHN FEDORA
MANCHESTER, CT
NPI
1659493021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: CT 000601)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
MR. PETER JOHN FEDORA L.O.
236 N MAIN ST
MANCHESTER, CT 06042-2004
Phone number: 860-646-3577
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Mailing Address
MR. PETER JOHN FEDORA L.O.
25 WHITE RD
TOLLAND, CT 06084-2541
Phone number: 860-646-3577
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