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1811549181
KAVYA SHANKAR MUTTANAHALLY
FARMINGTON, CT
NPI
1811549181
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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
2019-07-16
Last Update Date
2019-07-16
Business Address
Ms. KAVYA SHANKAR MUTTANAHALLY
UCONN SCHOOL OF DENTAL MEDICINE 263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2952
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Mailing Address
Ms. KAVYA SHANKAR MUTTANAHALLY
33 LAKESHORE DR APT B2
FARMINGTON, CT 06032-1268
Phone number: 860-725-2104
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