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1174939839
BRIAN PERVIS
WOODBRIDGE, CT
NPI
1174939839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CT 5745)
Enumeration Date
2014-07-02
Last Update Date
2022-02-12
Business Address
BRIAN PERVIS APRN
1 BRADLEY RD STE 505
WOODBRIDGE, CT 06525-2292
Phone number: 203-693-1164
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Mailing Address
BRIAN PERVIS APRN
304 S JONES BLVD # 1060
LAS VEGAS, NV 89107-2623
Phone number: 203-693-1164
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