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Individual

SEYEDEH PEGAH MIRMALEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
FARMINGTON, FARMINGTON, CT 06030
(860) 503-6925
Mailing address
16 RAVENWOOD RD, 06107, WEST HARTFORD, CT 06107
(860) 503-6925

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14209
CT

Other

Enumeration date
07/31/2024
Last updated
08/09/2024
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