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1881193043
MANUEL MANDAC
MERIDEN, CT
NPI
1881193043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CT 7432)
Enumeration Date
2018-02-02
Last Update Date
2018-02-02
Business Address
MANUEL MANDAC
25 HIDDEN PINES CIR
MERIDEN, CT 06451-2212
Phone number: 203-599-8207
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Mailing Address
MANUEL MANDAC
25 HIDDEN PINES CIR
MERIDEN, CT 06451-2212
Phone number: 203-599-8207
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