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1902141120
AJAUNIE DEAGO SILPOT
NORWALK, CT
NPI
1902141120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CT 1291)
Enumeration Date
2012-11-28
Last Update Date
2012-11-28
Business Address
-- AJAUNIE DEAGO SILPOT PTA
650 WEST AVE INNOVATIVE HEALTH AND REHABILITATION
NORWALK, CT 06850-4020
Phone number: 203-852-9903
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Mailing Address
-- AJAUNIE DEAGO SILPOT PTA
50 FOREST ST APT 1107
STAMFORD, CT 06901-1871
Phone number: 203-550-2384
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