| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1427133594 | BALAVENDER | HENRY | | | 27 DEPOT ST | WATERTOWN | CT | 067952601 |
| 1548525835 | COSTANZO | KATHRYN | | | 270 FARMINGTON AVE | FARMINGTON | CT | 060321909 |
| 1811103492 | HANSEN | EMILY | R | | 27 DEPOT ST | WATERTOWN | CT | 067952601 |
| 1053856732 | HORNE | ERIC | | | 47 N MAIN ST | WEST HARTFORD | CT | 061071926 |
| 1639251242 | LYTLE | TRAVIS | | | 27 DEPOT ST | WATERTOWN | CT | 067952601 |
| 1790188654 | NICKLIS | LAURA | | | 47 N MAIN ST | WEST HARTFORD | CT | 061071926 |
| 1477008811 | PARE | JAMIE | | | 47 N MAIN ST | WEST HARTFORD | CT | 061071926 |
| 1013460898 | SODERQUIST | JONATHAN | | | 47 N MAIN ST | WEST HARTFORD | CT | 061071926 |
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