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1063898617
KELLIE ANGELA FORD
VERNON, CT
NPI
1063898617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CT 6161)
Enumeration Date
2015-08-05
Last Update Date
2022-07-19
Business Address
KELLIE ANGELA FORD APRN
35 TALCOTTVILLE ROAD SUITE 6
VERNON, CT 06066-5261
Phone number: 860-870-6385
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Mailing Address
KELLIE ANGELA FORD APRN
35 TALCOTTVILLE RD
VERNON, CT 06066-5261
Phone number: 860-870-6385
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