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1740712728
KRISTAIN BASILE
MANCHESTER, CT
NPI
1740712728
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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
2017-03-30
Last Update Date
2017-03-30
Business Address
-- KRISTAIN BASILE
444 CENTER ST
MANCHESTER, CT 06040-3926
Phone number: 860-646-3888
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Mailing Address
-- KRISTAIN BASILE
995 DAY HILL RD
WINDSOR, CT 06095-1722
Phone number: 860-731-5522
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