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1871338814
WHITNEY SOUTHALL
BERLIN, CT
NPI
1871338814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
(Licence: CT 610)
Enumeration Date
2024-07-01
Last Update Date
2024-07-01
Business Address
WHITNEY SOUTHALL
369 NEW BRITAIN RD STE C
BERLIN, CT 06037-1351
Phone number: 860-543-0618
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Mailing Address
WHITNEY SOUTHALL
38 BURNSIDE AVE
PLAINVILLE, CT 06062-2806
Phone number: 860-543-0618
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