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1902588791
AIZZA IBRAR
FARMINGTON, CT
NPI
1902588791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT 13901)
Enumeration Date
2023-08-02
Last Update Date
2023-09-15
Business Address
AIZZA IBRAR
263 FARMINGTON AVENUE,
FARMINGTON, CT 06030
Phone number: 860-679-2000
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Mailing Address
AIZZA IBRAR
1256C FARMINGTON AVE APT LL02
WEST HARTFORD, CT 06107-2665
Phone number: 929-350-8710
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