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1154395549
ANNETTE JAKUBISIN-KONICKI
PUTNAM, CT
NPI
1154395549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CT R38193)
Enumeration Date
2006-02-14
Last Update Date
2007-09-05
Business Address
-- ANNETTE JAKUBISIN-KONICKI N.P.
320 POMFRET ST
PUTNAM, CT 06260-1836
Phone number: 860-963-6390
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Mailing Address
-- ANNETTE JAKUBISIN-KONICKI N.P.
320 POMFRET ST
PUTNAM, CT 06260-1836
Phone number: 860-963-6390
Copy
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