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1740034966
NATHAN LECLAIR
FARMINGTON, CT
NPI
1740034966
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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
2024-04-15
Last Update Date
2024-04-15
Business Address
NATHAN LECLAIR
263 FARMINGTON AVE
FARMINGTON, CT 06030
Phone number: 860-679-2562
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Mailing Address
NATHAN LECLAIR
263 FARMINGTON AVE
FARMINGTON, CT 06030-1921
Phone number: 860-679-2147
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