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1780158618
SHANATA CALLENS
WATERBURY, CT
NPI
1780158618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
SHANATA CALLENS
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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Mailing Address
SHANATA CALLENS
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
Copy
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