STACY GORMAN

MIDDLETOWN, CT
NPI1972571453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CT  006857)
Enumeration Date2006-03-09
Last Update Date2007-07-08
Business Address
-- STACY GORMAN RDH
635 MAIN ST
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
Mailing Address
-- STACY GORMAN RDH
635 MAIN ST ATTN: CREDENTIALING DEPARTMENT
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
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