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Individual

ADRIENNE LARA FEDYNA DEMBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED, ATC, LAT

Contact information

Practice address
211 NEW BRITAIN RD STE 101, BERLIN, CT 06037-3167
(860) 827-1333
(860) 223-9238
Mailing address
211 NEW BRITAIN RD STE 101, BERLIN, CT 06037-3167
(860) 827-1333
(860) 223-9238

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001413
CT

Other

Enumeration date
10/27/2020
Last updated
10/27/2020
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