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Individual

RAFAEL DESOUSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
15 BEAR PATH DR, SHELTON, CT 06484-2247
(203) 275-5189
Mailing address
15 BEAR PATH DR, SHELTON, CT 06484-2247
(203) 275-5189

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2345
CT

Other

Enumeration date
06/28/2025
Last updated
06/28/2025
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