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Individual

KHAMARI HAUGHTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
144 VIRGINIA AVE, NEW BRITAIN, CT 06052-1550
(973) 444-0066
Mailing address
144 VIRGINIA AVE, NEW BRITAIN, CT 06052-1550

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/12/2017
Last updated
04/12/2017
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