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1841990637
SOPHEAK TANG
WALLINGFORD, CT
NPI
1841990637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: CT 1584)
Enumeration Date
2023-03-09
Last Update Date
2023-04-26
Business Address
SOPHEAK TANG
174 CENTER ST
WALLINGFORD, CT 06492-4146
Phone number: 203-793-7948
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Mailing Address
SOPHEAK TANG
174 CENTER ST
WALLINGFORD, CT 06492-4146
Phone number: 203-793-7948
Copy
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