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Isra Yaghoubi
Student in an Organized Health Care Education/Training Program in West Hartford, Connecticut
NPI 1366899122

Isra Yaghoubi is a Student in an Organized Health Care Education/Training Program based in West Hartford, CT. Isra Yaghoubi practices in West Hartford, CT. The NPI Number for Isra Yaghoubi is 1366899122 and holds a License No. (Connecticut).

The current practice location address for Isra Yaghoubi is 1 King Philip Dr Unit 211, West Hartford, CT and can be reached out via phone at 203-550-9042.

Location: 1 King Philip Dr Unit 211, West Hartford, CT, 06117-2145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366899122
Provider Name
Isra Yaghoubi
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 King Philip Dr Unit 211, West Hartford, CT, 06117-2145
Phone Number
203-550-9042
Fax Number
Provider Enumeration Date
05/20/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004239370 05 CT
institution
Provider Business Practice Location Address Details
Address
1 King Philip Dr Unit 211
City
West Hartford
State
Connecticut
Zip
06117-2145
Phone Number
203-550-9042
Fax Number
person
Provider Business Mailing Address Details
Address
1 King Philip Dr Unit 211
City
West Hartford
State
Connecticut
Zip
06117-2145
Phone Number
203-550-9042
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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