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1144385261
DIANE E FAHEY
WEST HAVEN, CT
NPI
1144385261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CT 000373)
Enumeration Date
2006-12-27
Last Update Date
2016-05-03
Business Address
Ms. DIANE E FAHEY APRN
755 CAMPBELL AVE SUITE 2
WEST HAVEN, CT 06516-3715
Phone number: 203-889-2297
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Mailing Address
Ms. DIANE E FAHEY APRN
755 CAMPBELL AVE SUITE 2
WEST HAVEN, CT 06516-3715
Phone number: 203-889-2297
Copy
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