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1003562406
SUSAN PENQUE
SHELTON, CT
NPI
1003562406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CT 10088)
Enumeration Date
2022-02-23
Last Update Date
2022-02-23
Business Address
SUSAN PENQUE
18 FRANS WAY
SHELTON, CT 06484-2182
Phone number: 516-640-6195
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Mailing Address
SUSAN PENQUE
18 FRANS WAY
SHELTON, CT 06484-2182
Phone number: 516-640-6195
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