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1013429158
ADAM RYAN-LEWIS BOUCHER
DANBURY, CT
NPI
1013429158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CT 7352)
Enumeration Date
2017-10-30
Last Update Date
2019-11-16
Business Address
ADAM RYAN-LEWIS BOUCHER CRNA
24 HOSPITAL AVE
DANBURY, CT 06810-6099
Phone number: 860-377-4177
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Mailing Address
ADAM RYAN-LEWIS BOUCHER CRNA
23 HUNTINGTOWN RD
NEWTOWN, CT 06470-2626
Phone number: 860-377-4177
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