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1891393211
ERIC WADE
SOUTHINGTON, CT
NPI
1891393211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2020-10-16
Last Update Date
2020-10-16
Business Address
ERIC WADE
500 MILL ST APT 10
SOUTHINGTON, CT 06489-4740
Phone number: 203-232-6494
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Mailing Address
ERIC WADE
500 MILL ST APT 10
SOUTHINGTON, CT 06489-4740
Phone number: 203-232-6494
Copy
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