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Individual

ANDREW GONSALVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
53 WARWICK ST, MIDDLETOWN, CT 06457-3780
(860) 759-8612
Mailing address
53 WARWICK ST, MIDDLETOWN, CT 06457-3780
(860) 759-8612

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010488
CT

Other

Enumeration date
10/26/2023
Last updated
10/26/2023
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