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1073703815
MARIE CARL EUGENE
FARMINGTON, CT
NPI
1073703815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: CT 049337)
Enumeration Date
2007-07-27
Last Update Date
2022-07-11
Business Address
-- MARIE CARL EUGENE D.O.
263 FARMINGTON AVE NEUROLOGY MC-3835
FARMINGTON, CT 06030-3835
Phone number: 860-679-4888
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Mailing Address
-- MARIE CARL EUGENE D.O.
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-4888
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