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1174694798
NICOLE LANGAN MACIEJAK
NEW HAVEN, CT
NPI
1174694798
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Former Name
NICOLE PATRICE LANGAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CT 3454)
Enumeration Date
2006-11-13
Last Update Date
2019-11-13
Business Address
NICOLE LANGAN MACIEJAK APRN
35 DAVIS STREET SBHC
NEW HAVEN, CT 06515-1601
Phone number: 475-220-7815
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Mailing Address
NICOLE LANGAN MACIEJAK APRN
255 HEMPSTEAD ST
NEW LONDON, CT 06320-6204
Phone number:
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