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1891473187
KRISTINA LEIGH FORTIER
NEW HAVEN, CT
NPI
1891473187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 1346)
Enumeration Date
2023-07-07
Last Update Date
2023-07-07
Business Address
KRISTINA LEIGH FORTIER LAT, ATC
700 PROSPECT ST
NEW HAVEN, CT 06511-1224
Phone number: 203-773-4472
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Mailing Address
KRISTINA LEIGH FORTIER LAT, ATC
442 FARMINGTON AVE
WATERBURY, CT 06710-1228
Phone number:
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