MARY LOUISE BURBANK

MIDDLETOWN, CT
NPI1922647601
Former NameMARY LOUISE GATES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CT  001431)
Enumeration Date2019-12-30
Last Update Date2019-12-30
Business Address
MARY LOUISE BURBANK RD
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457-4760
Phone number: 860-287-1078
Mailing Address
MARY LOUISE BURBANK RD
179 RUSSELL ST
MIDDLETOWN, CT 06457-4323
Phone number:
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