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1942315916
EDWARD M VERGARA
DERBY, CT
NPI
1942315916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
Enumeration Date
2006-08-20
Last Update Date
2016-03-04
Business Address
Mr. EDWARD M VERGARA LO
656 NEW HAVEN AVE
DERBY, CT 06418-2528
Phone number: 203-736-2675
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Mailing Address
Mr. EDWARD M VERGARA LO
656 NEW HAVEN AVE
DERBY, CT 06418-2528
Phone number: 203-736-2675
Copy
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