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1679234116
SHONTAY RUSS-PHULBAS
HARTFORD, CT
NPI
1679234116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-01-06
Last Update Date
2022-01-06
Business Address
SHONTAY RUSS-PHULBAS
999 ASYLUM AVE STE 502
HARTFORD, CT 06105-2475
Phone number: 860-731-5522
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Mailing Address
SHONTAY RUSS-PHULBAS
2 WATERSIDE XING STE 401
WINDSOR, CT 06095-1588
Phone number: 860-731-5522
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