TARA T.S. FAGAN

WESTBROOK, CT
NPI1114205473
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  4711)
Enumeration Date2011-08-03
Last Update Date2017-03-02
Business Address
Mrs. TARA T.S. FAGAN APRN
250 FLAT ROCK PL
WESTBROOK, CT 06498-1565
Phone number: 860-358-3760
Mailing Address
Mrs. TARA T.S. FAGAN APRN
7 PARTRIDGE HOLLOW RD
KILLINGWORTH, CT 06419-1025
Phone number: 860-452-4042
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