MISS Jessica Shore

NPI #1184162166 in Simsbury, Connecticut

Provider Information

NPI Number: 1184162166
Entity Type: Individual
Name: MISS Jessica Shore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 9, 2017
Last Updated: Feb 9, 2017

Practice Location

Address: 8 BANKS RD
City: Simsbury
State: Connecticut
ZIP Code: 06070-2302
Phone: (860) 604-9546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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MR. Kevin A. Vining, BS, MHA, ATC	Student in an Organized Health Care Education/Training Program	South Kent	AI Deep Dive
MS. Anne Spicer Lathrop, PTA	Student in an Organized Health Care Education/Training Program	Norwich	AI Deep Dive
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Organizations

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New London Public Schools	Student in an Organized Health Care Education/Training Program	New London	AI Deep Dive

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