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1992201503
ANDRE LUCAS RIBEIRO
HARTFORD, CT
NPI
1992201503
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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
2018-04-03
Last Update Date
2018-04-03
Business Address
ANDRE LUCAS RIBEIRO MD
79 RETREAT AVE
HARTFORD, CT 06106-2527
Phone number: 860-972-0200
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Mailing Address
ANDRE LUCAS RIBEIRO MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-1921
Phone number: 860-679-2147
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