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1760117923
DYLAN LATELLA
HARTFORD, CT
NPI
1760117923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 005870)
Enumeration Date
2022-07-21
Last Update Date
2023-01-19
Business Address
DYLAN LATELLA PA-C
80 SEYMOUR ST
HARTFORD, CT 06102-8000
Phone number: 860-972-5022
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Mailing Address
DYLAN LATELLA PA-C
80 SEYMOUR ST
HARTFORD, CT 06102-8000
Phone number: 860-972-5022
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