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1750961280
IVELISE ORTIZ
WATERBURY, CT
NPI
1750961280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-04-09
Last Update Date
2021-04-09
Business Address
IVELISE ORTIZ
402 E MAIN ST
WATERBURY, CT 06702-1701
Phone number: 203-574-9000
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Mailing Address
IVELISE ORTIZ
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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