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1871112839
JOSEPH ANTHONY LICAUSI
WEST HAVEN, CT
NPI
1871112839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374700000X Technician
(Licence: CT PTN.0007595)
Enumeration Date
2020-04-10
Last Update Date
2020-04-10
Business Address
Mr. JOSEPH ANTHONY LICAUSI
950 CAMPBELL AVE
WEST HAVEN, CT 06516-2770
Phone number: 203-932-5711
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Mailing Address
Mr. JOSEPH ANTHONY LICAUSI
17 NICHOLAS DR
EAST HAVEN, CT 06512-1145
Phone number: 203-843-8149
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