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1811743362
JULIA ROSE MAINELLI
FARMINGTON, CT
NPI
1811743362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT 14072)
Enumeration Date
2024-04-25
Last Update Date
2024-06-05
Business Address
JULIA ROSE MAINELLI DMD
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2000
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Mailing Address
JULIA ROSE MAINELLI DMD
6 TALCOTT FOREST RD APT K
FARMINGTON, CT 06032-3570
Phone number: 860-652-5960
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