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1811458433
YESENIA WALLACE
WATERBURY, CT
NPI
1811458433
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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
2019-03-27
Last Update Date
2019-03-27
Business Address
YESENIA WALLACE
402 E MAIN ST
WATERBURY, CT 06702-1701
Phone number: 203-574-9000
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Mailing Address
YESENIA WALLACE
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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