Provider Information for 1801355219
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CASSANDRA AAMODT
Sex: Female
NPI: 1801355219
Last Updated: 2019-03-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1801355219 | ||||||||
| Enumeration Date | 2019-03-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 270 EMERALD PL STRATFORD, CT 06614-2023 United States Phone: 517-927-4787 | Fax: | ||||||||
| Primary Practice Address | 75 N MOUNTAIN RD NEW BRITAIN, CT 06053-3468 United States Phone: 517-927-4787 | Fax: | ||||||||
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