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1093765232
KIMBERLY J LANE
PUTNAM, CT
NPI
1093765232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CT 000708)
Enumeration Date
2006-05-10
Last Update Date
2019-10-01
Business Address
KIMBERLY J LANE APRN
320 POMFRET ST
PUTNAM, CT 06260-1836
Phone number: 860-928-6541
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Mailing Address
KIMBERLY J LANE APRN
320 POMFRET ST
PUTNAM, CT 06260-1836
Phone number: 860-928-6541
Copy
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