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1902022148
GARY DAVID DORMANDY
WALLINGFORD, CT
NPI
1902022148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 000114)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Mr. GARY DAVID DORMANDY Athletic Trainer
333 CHRISTIAN STREET CHOATE ROSEMARY HALL
WALLINGFORD, CT 06492
Phone number: 203-697-2431
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Mailing Address
Mr. GARY DAVID DORMANDY Athletic Trainer
1 KISH PLACE
WALLINGFORD, CT 06492-3226
Phone number: 203-697-2431
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