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1861140030
EDMOND CHRISTIAN HENDEWICH
FARMINGTON, CT
NPI
1861140030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: CT 001424)
Enumeration Date
2022-03-16
Last Update Date
2022-03-16
Business Address
EDMOND CHRISTIAN HENDEWICH LO
599 FARMINGTON AVE STE 201
FARMINGTON, CT 06032-2356
Phone number: 860-837-9676
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Mailing Address
EDMOND CHRISTIAN HENDEWICH LO
3 HIGH MEADOW RD
BLOOMFIELD, CT 06002-2133
Phone number: 860-221-4466
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