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Individual

IAN ALPHONSO DAYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1285 BURNSIDE AVE APT B, EAST HARTFORD, CT 06108-1582
(860) 709-8119
Mailing address
1285 BURNSIDE AVE APT B, EAST HARTFORD, CT 06108-1582
(860) 709-8119

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
36671
CT

Other

Enumeration date
06/23/2021
Last updated
06/23/2021
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