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1982114179
MICHAEL FORTIN
MANCHESTER, CT
NPI
1982114179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-10-03
Last Update Date
2017-10-03
Business Address
MICHAEL FORTIN
444 CENTER ST
MANCHESTER, CT 06040-3926
Phone number: 860-243-6584
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Mailing Address
MICHAEL FORTIN
995 DAY HILL RD
WINDSOR, CT 06095-1722
Phone number: 860-731-5522
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