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1003280157
A PROSPERING VISION HOLISTIC MEDICAL SERVICES, LLC
WATERBURY, CT
NPI
1003280157
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Entity Type
Organization
Authorized Contact
ELIJAH CALDWELL
Executive D Irector
203-558-9865
Organization Subpart ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2015-11-30
Last Update Date
2015-11-30
Business Address
A PROSPERING VISION HOLISTIC MEDICAL SERVICES, LLC
60 N MAIN ST 3RD FLR
WATERBURY, CT 06702-1443
Phone number: 203-558-9865
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Mailing Address
A PROSPERING VISION HOLISTIC MEDICAL SERVICES, LLC
60 N MAIN ST 3RD FLR
WATERBURY, CT 06702-1443
Phone number: 203-558-9865
Copy
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