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1922744135
KAKHA GUJABIDZE
WATERBURY, CT
NPI
1922744135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-10
Last Update Date
2022-07-22
Business Address
KAKHA GUJABIDZE
56 FRANKLIN STREET
WATERBURY, CT 06706
Phone number: 203-709-6424
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Mailing Address
KAKHA GUJABIDZE
56 FRANKLIN STREET
WATERBURY, CT 06706
Phone number: 203-709-6424
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