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1942058011
MARTIN CORDON GODOY
FARMINGTON, CT
NPI
1942058011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT 14063)
Enumeration Date
2024-05-13
Last Update Date
2024-06-03
Business Address
MARTIN CORDON GODOY
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2000
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Mailing Address
MARTIN CORDON GODOY
15 FARM SPRINGS RD APT 329
FARMINGTON, CT 06032-2593
Phone number: 860-977-2894
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