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1790049583
SHAWN BAZEMORE
WATERBURY, CT
NPI
1790049583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-06-27
Last Update Date
2012-06-27
Business Address
-- SHAWN BAZEMORE
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-575-0641
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Mailing Address
-- SHAWN BAZEMORE
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-575-0641
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