BALY JUAN SEO PARK

FARMINGTON, CT
NPI1790403137
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT  13568)
Enumeration Date2022-08-22
Last Update Date2022-09-06
Business Address
BALY JUAN SEO PARK
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 679-860-2000
Mailing Address
BALY JUAN SEO PARK
10 TALCOTT RIDGE RD UNIT G
FARMINGTON, CT 06032-3513
Phone number: 959-225-0288
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