Individual
MRS. KAITLYN TEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1869
(860) 928-6541
Mailing address
46 FIRST ST, NORTH GROSVENORDALE, CT 06255-1619
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30315335
CT
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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